|
| |
|
2016 Main St Forest Grove OR 97116-2335 | |
| (503) 357-3711 | |
| (503) 992-1939 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 2016 Main St, Forest Grove, Oregon |
| Authorized Official Name and Position | Donald A. Compton (OWNER) |
| Authorized Official Contact | 5033573711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2016 Main St Forest Grove OR 97116-2335 Ph: (503) 357-3711 | 2016 Main St Forest Grove OR 97116-2335 Ph: (503) 357-3711 |
| NPI Number | 1235304957 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235304957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5394 (Oregon) | Primary |
Maple Street Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 Fax: 503-359-5479 | |
Marilyn J Booth Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7194 Fax: 503-357-5735 | |
Bours Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3303 19th Ave, Forest Grove, OR 97116 Phone: 503-357-6119 Fax: 503-359-5750 | |
Northwest Pain Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2005 Cedar St, Forest Grove, OR 97116 Phone: 503-883-8297 | |