| |
1001 Se Tualatin Valley Hwy Ste A29, Hillsboro, OR 97123-5022 | |
(503) 648-2700 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 1001 Se Tualatin Valley Hwy Ste A29, Hillsboro, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962768523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3613 (Oregon) | Secondary |
111N00000X | Chiropractor | 3959 (Oregon) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1001 Se Tualatin Valley Hwy Ste A29, Hillsboro, OR 97123-5022 Ph: (503) 648-2700 | 1001 Se Tualatin Valley Hwy Ste A29, Hillsboro, OR 97123-5022 Ph: (503) 648-2700 |