<unavail> in Portland, OR

is a primary clinic (Clinic/center - Multi-specialty) in Portland, Oregon. The current practice location for is 521 Sw 11th Ave, Portland, Oregon. For appointments, you can reach them via phone at (503) 224-6008. The mailing address for is Po Box 8459, Portland, Oregon and phone number is (503) 238-0769.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1972642262. 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) 224-6008.

Contact Information


	521 Sw 11th Ave Portland OR 97205-2634
	(503) 224-6008
	(503) 224-6047

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Multi-specialty
Location	521 Sw 11th Ave, Portland, Oregon
Authorized Official Name and Position	Enrique Sama (VP, HUMAN RESOURCES)
Authorized Official Contact	5039637791
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 8459 Portland OR 97207-8459 Ph: (503) 238-0769	521 Sw 11th Ave Portland OR 97205-2634 Ph: (503) 224-6008

NPI Details:

NPI Number	1972642262
Provider Enumeration Date	02/05/2007
Last Update Date	06/12/2008

Medical Identifiers

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

Identifier	Type	State	Issuer
1972642262	NPI	-	NPPES
223347	Medicaid	OR
226398	Medicaid	OR

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 in Portland, OR