Rita A. Stratton P.c. | |
333 Se 223rd Ave Suite 204 Gresham OR 97030-7454 | |
(503) 661-7733 | |
(503) 661-7890 |
Full Name | Rita A. Stratton P.c. |
---|---|
Speciality | Social Worker - Clinical |
Location | 333 Se 223rd Ave, Gresham, Oregon |
Authorized Official Name and Position | Robert Darrell Stratton (CEO) |
Authorized Official Contact | 5036617733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rita A. Stratton P.c. Po Box 1630 Fairview OR 97024-1630 Ph: (503) 661-7733 | Rita A. Stratton P.c. 333 Se 223rd Ave Suite 204 Gresham OR 97030-7454 Ph: (503) 661-7733 |
NPI Number | 1912192543 |
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Provider Enumeration Date | 09/06/2007 |
Last Update Date | 09/06/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912192543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L1721 (Oregon) | Primary |
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