| Gresham Troutdale Family Medical Center Pc | |
|
1700 Sw 257th Ave Troutdale OR 97060-1900 | |
| (503) 491-2422 | |
| (503) 491-2434 |
| Full Name | Gresham Troutdale Family Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1700 Sw 257th Ave, Troutdale, Oregon |
| Authorized Official Name and Position | Gregory Michael Knopf (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5034912422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gresham Troutdale Family Medical Center Pc Po Box 730 Troutdale OR 97060-0730 Ph: (503) 491-2422 | Gresham Troutdale Family Medical Center Pc 1700 Sw 257th Ave Troutdale OR 97060-1900 Ph: (503) 491-2422 |
| NPI Number | 1225184674 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225184674 | NPI | - | NPPES |
| 228757 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Columbia View Family Health Center P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2800 Sw 257th Ave., Troutdale, OR 97060 Phone: 503-667-7711 Fax: 503-669-9908 | |
Multnomah County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 Sw Cherry Park Rd, Troutdale, OR 97060 Phone: 503-988-3340 Fax: 503-988-4464 | |
Mc Reynolds Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 Sw Cherry Park Rd, Troutdale, OR 97060 Phone: 503-988-3340 |