| Gregory V.s. Camp, Md | |
|
13021 Se River Rd Portland OR 97222-8062 | |
| (360) 260-8225 | |
| (360) 397-0189 |
| Full Name | Gregory V.s. Camp, Md |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 13021 Se River Rd, Portland, Oregon |
| Authorized Official Name and Position | Janice L Spencer (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3602608225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory V.s. Camp, Md Po Box 33348 Portland OR 97292-3348 Ph: (360) 260-8225 | Gregory V.s. Camp, Md 13021 Se River Rd Portland OR 97222-8062 Ph: (360) 260-8225 |
| NPI Number | 1023226271 |
|---|---|
| Provider Enumeration Date | 05/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023226271 | NPI | - | NPPES |
| 196295 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | MD15086 (Oregon) | Primary |
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