| Greenburg | |
|
11380 Sw Greenburg Rd Tigard OR 97223-5357 | |
| (541) 858-8170 | |
| Not Available |
| Full Name | Greenburg |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11380 Sw Greenburg Rd, Tigard, Oregon |
| Authorized Official Name and Position | Mike David Sewitsky (FINANCE DIRECTOR) |
| Authorized Official Contact | 5418588170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenburg 11380 Sw Greenburg Rd Tigard OR 97223-5357 Ph: (541) 858-8170 | Greenburg 11380 Sw Greenburg Rd Tigard OR 97223-5357 Ph: (541) 858-8170 |
| NPI Number | 1144580903 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144580903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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