| Heart Spring Health | |
|
4804 Se Lincoln St Portland OR 97215-3841 | |
| (503) 956-9396 | |
| (866) 833-0582 |
| Full Name | Heart Spring Health |
|---|---|
| Speciality | Family Medicine |
| Location | 4804 Se Lincoln St, Portland, Oregon |
| Authorized Official Name and Position | Serron Wilkie (PROPRIETOR) |
| Authorized Official Contact | 5039569396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Spring Health 4804 Se Lincoln St Portland OR 97215-3841 Ph: (503) 956-9396 | Heart Spring Health 4804 Se Lincoln St Portland OR 97215-3841 Ph: (503) 956-9396 |
| NPI Number | 1043572852 |
|---|---|
| Provider Enumeration Date | 06/08/2012 |
| Last Update Date | 06/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043572852 | NPI | - | NPPES |
| 1851625560 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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