| Beaverton Weight Loss & Family Practice | |
|
13292 Sw 161st Pl Tigard OR 97223-2677 | |
| (503) 330-7025 | |
| Not Available |
| Full Name | Beaverton Weight Loss & Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13292 Sw 161st Pl, Tigard, Oregon |
| Authorized Official Name and Position | Joseph Edward Knaus (OWNER) |
| Authorized Official Contact | 5033307025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaverton Weight Loss & Family Practice 13292 Sw 161st Pl Tigard OR 97223-2677 Ph: (503) 330-7025 | Beaverton Weight Loss & Family Practice 13292 Sw 161st Pl Tigard OR 97223-2677 Ph: (503) 330-7025 |
| NPI Number | 1902013725 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902013725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 99007644 (Oregon) | Primary |
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