| Generations Family Medicine, P.c | |
|
8106 Ne Wasco St Portland OR 97213-6737 | |
| (503) 255-8258 | |
| (503) 252-1668 |
| Full Name | Generations Family Medicine, P.c |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8106 Ne Wasco St, Portland, Oregon |
| Authorized Official Name and Position | Thanhlong Duc Pham (PHYSICIAN) |
| Authorized Official Contact | 5037031500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Family Medicine, P.c 8106 Ne Wasco St Portland OR 97213-6737 Ph: (503) 255-8258 | Generations Family Medicine, P.c 8106 Ne Wasco St Portland OR 97213-6737 Ph: (503) 255-8258 |
| NPI Number | 1770926941 |
|---|---|
| Provider Enumeration Date | 04/08/2013 |
| Last Update Date | 06/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770926941 | NPI | - | NPPES |
| 241669 | Medicaid | OR | |
| R142499 | Other | OR | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD28383 (Oregon) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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