| |
230 Ne 2nd Ave Suite C Hillsboro OR 97124-3074 | |
(503) 238-0769 | |
(503) 889-2599 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 230 Ne 2nd Ave, Hillsboro, Oregon |
Authorized Official Name and Position | Enrique Sama (VP, HUMAN RESOURCES) |
Authorized Official Contact | 5039637791 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 8459 Portland OR 97207-8459 Ph: (503) 238-0769 | 230 Ne 2nd Ave Suite C Hillsboro OR 97124-3074 Ph: (503) 238-0769 |
NPI Number | 1699722561 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 06/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699722561 | NPI | - | NPPES |
223347 | Medicaid | OR | |
226398 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 971-281-3000 Fax: 503-352-8658 | |
Symmetry Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Se Oak St, Hillsboro, OR 97123 Phone: 503-214-2530 | |
Edward F Clarke Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Se Ninth, Suite D, Hillsboro, OR 97123 Phone: 503-648-7128 Fax: 503-640-1727 | |