Nancy Borman, D.o., Pc | |
1585 Sw Marlow Ave Site 200 Portland OR 97225-5176 | |
(503) 548-4008 | |
(971) 266-8251 |
Full Name | Nancy Borman, D.o., Pc |
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Speciality | Clinic/center - Primary Care |
Location | 1585 Sw Marlow Ave, Portland, Oregon |
Authorized Official Name and Position | Nancy Lynne Borman (OWNER/PHYSICIAN) |
Authorized Official Contact | 5035484008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nancy Borman, D.o., Pc 1585 Sw Marlow Ave Site 200 Portland OR 97225-5176 Ph: (503) 548-4008 | Nancy Borman, D.o., Pc 1585 Sw Marlow Ave Site 200 Portland OR 97225-5176 Ph: (503) 548-4008 |
NPI Number | 1750746004 |
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Provider Enumeration Date | 12/30/2015 |
Last Update Date | 12/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750746004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | DO19719 (Oregon) | Primary |
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