| |
13021 Se River Rd Portland OR 97222-8062 | |
(360) 260-8225 | |
(360) 397-0189 |
Full Name | |
---|---|
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 |
---|---|
Po Box 33348 Portland OR 97292-3348 Ph: (360) 260-8225 | 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 |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |