| Careoregon Community Health, Llc | |
|
17175 Sw Tualatin Valley Hwy Suite B-2 Beaverton OR 97006-4584 | |
| (503) 848-5861 | |
| (503) 848-5863 |
| Full Name | Careoregon Community Health, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 17175 Sw Tualatin Valley Hwy, Beaverton, Oregon |
| Authorized Official Name and Position | James M. Schroeder (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5034165764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careoregon Community Health, Llc 315 Sw 5th Ave Ste 900 Portland OR 97204-1739 Ph: (503) 416-4100 | Careoregon Community Health, Llc 17175 Sw Tualatin Valley Hwy Suite B-2 Beaverton OR 97006-4584 Ph: (503) 848-5861 |
| NPI Number | 1053630491 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 01/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053630491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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