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2735 Ne 82nd Ave Portland OR 97220-5304 | |
(503) 988-3382 | |
(503) 988-3167 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2735 Ne 82nd Ave, Portland, Oregon |
Authorized Official Name and Position | Wendy Lear (BUSINESS SERVICES MANAGER) |
Authorized Official Contact | 5039883663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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619 Nw 6th Ave Ste 500 Portland OR 97209-3964 Ph: (503) 988-7468 | 2735 Ne 82nd Ave Portland OR 97220-5304 Ph: (503) 988-3382 |
NPI Number | 1235379629 |
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Provider Enumeration Date | 02/25/2009 |
Last Update Date | 04/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235379629 | NPI | - | NPPES |
022959 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |