| Care Nimble Medical Group Oregon Pc | |
|
15480 Sw 155th Ct Beaverton OR 97007-8111 | |
| (319) 512-9782 | |
| Not Available |
| Full Name | Care Nimble Medical Group Oregon Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 15480 Sw 155th Ct, Beaverton, Oregon |
| Authorized Official Name and Position | Erik R Vanderlip (PRESIDENT) |
| Authorized Official Contact | 3195129782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Nimble Medical Group Oregon Pc 15480 Sw 155th Ct Beaverton OR 97007-8111 Ph: () - | Care Nimble Medical Group Oregon Pc 15480 Sw 155th Ct Beaverton OR 97007-8111 Ph: (319) 512-9782 |
| NPI Number | 1700692985 |
|---|---|
| Provider Enumeration Date | 12/03/2024 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700692985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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