| Iron Tribe Network | |
|
17763 Se 82nd Dr Ste D Gladstone OR 97027-1822 | |
| (503) 344-6710 | |
| Not Available |
| Full Name | Iron Tribe Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17763 Se 82nd Dr Ste D, Gladstone, Oregon |
| Authorized Official Name and Position | Harold Reichert Cubbedge (AUTHORIZED AGENT) |
| Authorized Official Contact | 5037543495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iron Tribe Network 17763 Se 82nd Dr Ste D Gladstone OR 97027-1822 Ph: (503) 344-6710 | Iron Tribe Network 17763 Se 82nd Dr Ste D Gladstone OR 97027-1822 Ph: (503) 344-6710 |
| NPI Number | 1639577398 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 12/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639577398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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