is a Health Service in Portland, Oregon. practices all healthcare services and medical treatments related to Health Service. The NPI Number for is 1346407244. The last update date is .
's current location address is 1706 Nw Glisan St Ste 5, Portland, Oregon. You can contact this provider via phone number 5032285000 and fax number 5032285019. The mailing address for is 1706 Nw Glisan St Ste 5, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1706 Nw Glisan St Ste 5, Portland, Oregon |
Phone Number | 5032285000 |
Fax Number | 5032285019 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1346407244 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1706 Nw Glisan St Ste 5 |
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City | Portland |
State | Oregon (OR) |
Post Code | 972092225 |
Phone Number | 5032285000 |
Fax Number | 5032285019 |
Provider's Primary Taxonomy Detail
Speciality | Health Service |
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Taxonomy | 261Qh0100X |
Licence No | 273413 |
Definition: Provides general outpatient medical care by physicians and other providers. |
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