| Portland Metro Treatment Center | |
|
16420 Se Division St Portland OR 97236-1987 | |
| (503) 762-3130 | |
| (503) 762-3199 |
| Full Name | Portland Metro Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 16420 Se Division St, Portland, Oregon |
| Authorized Official Name and Position | Rodney Williams (CFO) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Metro Treatment Center 2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 Ph: (407) 351-7080 | Portland Metro Treatment Center 16420 Se Division St Portland OR 97236-1987 Ph: (503) 762-3130 |
| NPI Number | 1508073651 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 09/25/2019 |
| Medicare PECOS PAC ID | 8426480955 |
|---|---|
| Medicare Enrollment ID | O20191121000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508073651 | NPI | - | NPPES |
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