<unavail> in Portland, OR

is a primary clinic (Clinic/center - Multi-specialty) in Portland, Oregon. The current practice location for is 2130 Se 96th Ave, Portland, Oregon. For appointments, you can reach them via phone at (503) 261-8121. The mailing address for is 2130 Se 96th Ave, Portland, Oregon and phone number is (503) 740-8640.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1255844908. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (503) 261-8121.

Contact Information


	2130 Se 96th Ave Portland OR 97216-2603
	(503) 261-8121
	(503) 512-5384

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Multi-specialty
Location	2130 Se 96th Ave, Portland, Oregon
Authorized Official Name and Position	Fatima Magomadova (PRESIDENT)
Authorized Official Contact	5037408640
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2130 Se 96th Ave Portland OR 97216-2603 Ph: (503) 740-8640	2130 Se 96th Ave Portland OR 97216-2603 Ph: (503) 261-8121

NPI Details:

NPI Number	1255844908
Provider Enumeration Date	11/15/2017
Last Update Date	06/15/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255844908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Portland, OR

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Ne 35th Avenue, Portland, OR 97232 Phone: 503-389-5545
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Se Henry St, Portland, OR 97206 Phone: 503-771-6061 Fax: 503-771-7514

- Primary Care in Portland, OR