Sawubona, Llc | |
1675 Sw Marlow Ave Ste 301, Portland, OR 97225-5105 | |
(503) 469-9818 | |
(503) 469-9870 |
Full Name | Sawubona, Llc |
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Type | Facility |
Speciality | General Practice |
Location | 1675 Sw Marlow Ave Ste 301, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1811519523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Secondary |
175F00000X | Naturopath | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Aloysius N. Fobi |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1255350328 PECOS PAC ID: 9638242183 Enrollment ID: I20080717000218 |
Provider Name | Kendra J Watson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760637920 PECOS PAC ID: 8729114046 Enrollment ID: I20100325000885 |
Provider Name | Maxwell Elliott Muehleip |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083121859 PECOS PAC ID: 6901220102 Enrollment ID: I20200721002902 |
Provider Name | Eric Timmons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588262687 PECOS PAC ID: 3779994033 Enrollment ID: I20201118001418 |
Mailing Address | Practice Location Address |
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Sawubona, Llc 917 Meadows Ln Se, Jefferson, OR 97352-9611 Ph: () - | Sawubona, Llc 1675 Sw Marlow Ave Ste 301, Portland, OR 97225-5105 Ph: (503) 469-9818 |