<unavail> in Portland, OR

is a primary clinic (Clinic/center - Primary Care) in Portland, Oregon. The current practice location for is 3036 Ne M L King Blvd, Portland, Oregon. For appointments, you can reach them via phone at (503) 283-3763. The mailing address for is Po Box 8459, Portland, Oregon and phone number is (503) 238-0769.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1538208129. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (503) 283-3763.

Contact Information


	3036 Ne M L King Blvd Portland OR 97212-3053
	(503) 283-3763
	(503) 735-0912

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Primary Care
Location	3036 Ne M L King Blvd, Portland, Oregon
Authorized Official Name and Position	Heather J Mcalpine (CREDENTIALING SPECIALIST)
Authorized Official Contact	5032380769
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 8459 Portland OR 97207-8459 Ph: (503) 238-0769	3036 Ne M L King Blvd Portland OR 97212-3053 Ph: (503) 283-3763

NPI Details:

NPI Number	1538208129
Provider Enumeration Date	02/06/2007
Last Update Date	07/25/2022

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538208129	NPI	-	NPPES
500780599	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Portland, OR

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- Primary Care in Portland, OR