| Functional Endocrinology | |
|
9895 Se Sunnyside Rd Suite L Clackamas OR 97015-5740 | |
| (503) 659-0121 | |
| (503) 659-0119 |
| Full Name | Functional Endocrinology |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9895 Se Sunnyside Rd, Clackamas, Oregon |
| Authorized Official Name and Position | Kim D Christensen (PRESIDENT) |
| Authorized Official Contact | 3609018800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Endocrinology 9895 Se Sunnyside Rd Suite L Clackamas OR 97015-5740 Ph: (503) 659-0121 | Functional Endocrinology 9895 Se Sunnyside Rd Suite L Clackamas OR 97015-5740 Ph: (503) 659-0121 |
| NPI Number | 1649690660 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 04/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649690660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 1501 (Oregon) | Primary |
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