| Healing Presence Family Practice, Pc | |
|
30250 Sw Parkway Ave Suite 7 Wilsonville OR 97070-9757 | |
| (503) 819-9726 | |
| Not Available |
| Full Name | Healing Presence Family Practice, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 30250 Sw Parkway Ave, Wilsonville, Oregon |
| Authorized Official Name and Position | Carla Rayne Anderson (OWNER) |
| Authorized Official Contact | 5038199726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Presence Family Practice, Pc 29030 Sw Town Center Loop E Suite 202 Po Box 260 Wilsonville OR 97070-9490 Ph: (503) 819-9726 | Healing Presence Family Practice, Pc 30250 Sw Parkway Ave Suite 7 Wilsonville OR 97070-9757 Ph: (503) 819-9726 |
| NPI Number | 1376768572 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 07/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376768572 | NPI | - | NPPES |
| 070131 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Oregon) | Primary |
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