Family Clinic P C | |
527 Se Baseline Rd Ste E Hillsboro OR 97123-4149 | |
(503) 648-1121 | |
(503) 648-1124 |
Full Name | Family Clinic P C |
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Speciality | Family Medicine |
Location | 527 Se Baseline Rd, Hillsboro, Oregon |
Authorized Official Name and Position | James R Sohriakoff (OWNER) |
Authorized Official Contact | 5036481121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Clinic P C 527 Se Baseline Rd Ste E Hillsboro OR 97123-4149 Ph: (503) 648-1121 | Family Clinic P C 527 Se Baseline Rd Ste E Hillsboro OR 97123-4149 Ph: (503) 648-1121 |
NPI Number | 1366495301 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 07/21/2015 |
Medicare PECOS PAC ID | 3274621446 |
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Medicare Enrollment ID | O20071123000008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366495301 | NPI | - | NPPES |
208090 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D012215 (Oregon) | Primary |
Provider Name | James R Sohriakoff |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679752794 PECOS PAC ID: 2668566084 Enrollment ID: I20070917000208 |
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