Mobile Vaccs Llc | |
3838 Se Saint Andrews Pl Gresham OR 97080-8421 | |
(503) 858-7403 | |
Not Available |
Full Name | Mobile Vaccs Llc |
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Speciality | Clinic/center |
Location | 3838 Se Saint Andrews Pl, Gresham, Oregon |
Authorized Official Name and Position | Cathryn Hansen (OWNER/OPERATOR) |
Authorized Official Contact | 5038587403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mobile Vaccs Llc 3838 Se Saint Andrews Pl Gresham OR 97080-8421 Ph: (503) 858-7403 | Mobile Vaccs Llc 3838 Se Saint Andrews Pl Gresham OR 97080-8421 Ph: (503) 858-7403 |
NPI Number | 1215440557 |
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Provider Enumeration Date | 11/08/2017 |
Last Update Date | 11/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215440557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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