| Family Practice Clinic | |
|
10250 Sw Greenburg Rd Suite 110 Building 4 Portland OR 97223-5443 | |
| (503) 244-4268 | |
| (503) 244-4261 |
| Full Name | Family Practice Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 10250 Sw Greenburg Rd, Portland, Oregon |
| Authorized Official Name and Position | Tanya E Carter (OWNER) |
| Authorized Official Contact | 5032444268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Clinic 10250 Sw Greenburg Rd Suite 110 Building 4 Portland OR 97223-5443 Ph: (503) 244-4268 | Family Practice Clinic 10250 Sw Greenburg Rd Suite 110 Building 4 Portland OR 97223-5443 Ph: (503) 244-4268 |
| NPI Number | 1093862245 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093862245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO22368 (Oregon) | Primary |
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