My Multicare Llc | |
10121 Se Sunnyside Rd Ste 300 Suite 300 Clackamas OR 97015-5713 | |
(503) 902-1105 | |
(503) 786-3896 |
Full Name | My Multicare Llc |
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Speciality | Psychiatry & Neurology - Addiction Psychiatry |
Location | 10121 Se Sunnyside Rd Ste 300, Clackamas, Oregon |
Authorized Official Name and Position | Raymond P Tangredi (CEO) |
Authorized Official Contact | 5039021105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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My Multicare Llc 10121 Se Sunnyside Rd Ste 300 Suite 300 Clackamas OR 97015-5713 Ph: (503) 902-1105 | My Multicare Llc 10121 Se Sunnyside Rd Ste 300 Suite 300 Clackamas OR 97015-5713 Ph: (503) 902-1105 |
NPI Number | 1275930497 |
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Provider Enumeration Date | 12/03/2014 |
Last Update Date | 12/03/2014 |
Identifier | Type | State | Issuer |
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1275930497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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