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3060 Se Hawthorne Blvd Portland OR 97214-4121 | |
(800) 813-2000 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 3060 Se Hawthorne Blvd, Portland, Oregon |
Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
Authorized Official Contact | 5038132440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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500 Ne Multnomah St Ste 100 Portland OR 97232-2099 Ph: (800) 813-2000 | 3060 Se Hawthorne Blvd Portland OR 97214-4121 Ph: (800) 813-2000 |
NPI Number | 1588153076 |
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Provider Enumeration Date | 05/09/2018 |
Last Update Date | 06/01/2021 |
Identifier | Type | State | Issuer |
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1588153076 | NPI | - | NPPES |
500728475 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
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 | |