| Cornell Family Medicine | |
|
12400 Nw Cornell Rd Ste 200 Portland OR 97229-5689 | |
| (503) 352-0211 | |
| Not Available |
| Full Name | Cornell Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12400 Nw Cornell Rd Ste 200, Portland, Oregon |
| Authorized Official Name and Position | Robert P. Barlow (PRESIDENT) |
| Authorized Official Contact | 5033520211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornell Family Medicine 12400 Nw Cornell Rd Ste 200 Portland OR 97229-5689 Ph: (503) 352-0211 | Cornell Family Medicine 12400 Nw Cornell Rd Ste 200 Portland OR 97229-5689 Ph: (503) 352-0211 |
| NPI Number | 1952543944 |
|---|---|
| Provider Enumeration Date | 04/06/2009 |
| Last Update Date | 05/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952543944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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