| Lags Spine And Sportscare Medical Centers, Inc. | |
|
169 Ne 102nd Ave Portland OR 97220-4169 | |
| (503) 477-8645 | |
| (503) 208-2826 |
| Full Name | Lags Spine And Sportscare Medical Centers, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 169 Ne 102nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Francis Peter Lagattuta (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 8059287361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lags Spine And Sportscare Medical Centers, Inc. 218 N I St Lompoc CA 93436-0909 Ph: (805) 928-7361 | Lags Spine And Sportscare Medical Centers, Inc. 169 Ne 102nd Ave Portland OR 97220-4169 Ph: (503) 477-8645 |
| NPI Number | 1316468127 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 06/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316468127 | NPI | - | NPPES |
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