| Columbia Medical And Endocrine Clinic | |
|
501 Ne Hood Ave Suite 215 Gresham OR 97030-7303 | |
| (503) 667-8400 | |
| (503) 907-7072 |
| Full Name | Columbia Medical And Endocrine Clinic |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 501 Ne Hood Ave, Gresham, Oregon |
| Authorized Official Name and Position | Margaret A Vajdos (OWNER PHYSICIAN) |
| Authorized Official Contact | 5036678400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Medical And Endocrine Clinic 501 Ne Hood Ave Suite 215 Gresham OR 97030-7303 Ph: (503) 667-8400 | Columbia Medical And Endocrine Clinic 501 Ne Hood Ave Suite 215 Gresham OR 97030-7303 Ph: (503) 667-8400 |
| NPI Number | 1306966569 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306966569 | NPI | - | NPPES |
| 079874 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD19676 (Oregon) | Primary |
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