| Create Heath Nw | |
|
1975 Nw 167th Pl # 100-42 Beaverton OR 97006-4908 | |
| (971) 344-7365 | |
| Not Available |
| Full Name | Create Heath Nw |
|---|---|
| Speciality | Clinic/center |
| Location | 1975 Nw 167th Pl # 100-42, Beaverton, Oregon |
| Authorized Official Name and Position | Benjamin Robert Burton (DOCTOR) |
| Authorized Official Contact | 9713447365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create Heath Nw 1975 Nw 167th Pl # 100-42 Beaverton OR 97006-4908 Ph: (971) 344-7365 | Create Heath Nw 1975 Nw 167th Pl # 100-42 Beaverton OR 97006-4908 Ph: (971) 344-7365 |
| NPI Number | 1336817972 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336817972 | NPI | - | NPPES |
| DO171244 | Other | OR | OREGON MEDICAL BOARD |
| OP60798348 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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