| Lukedorf | |
|
8915 Sw Center St Tigard OR 97223-6307 | |
| (503) 726-3690 | |
| (503) 726-3691 |
| Full Name | Lukedorf |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 8915 Sw Center St, Tigard, Oregon |
| Authorized Official Name and Position | Toby Cowell (HR) |
| Authorized Official Contact | 5037263690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lukedorf 8915 Sw Center St Tigard OR 97223-6307 Ph: (503) 726-3690 | Lukedorf 8915 Sw Center St Tigard OR 97223-6307 Ph: (503) 726-3690 |
| NPI Number | 1457897548 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457897548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | RN (Oregon) | Primary |
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