| Northwest Primary Care Group Pc | |
|
10024 Se 32nd Ave Milwaukie OR 97222-6514 | |
| (503) 659-4988 | |
| (503) 654-5666 |
| Full Name | Northwest Primary Care Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10024 Se 32nd Ave, Milwaukie, Oregon |
| Authorized Official Name and Position | Michael Whitbeck (ADMINISTRATOR) |
| Authorized Official Contact | 5036594777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Primary Care Group Pc Po Box 22075 Milwaukie OR 97269-2075 Ph: (503) 659-4777 | Northwest Primary Care Group Pc 10024 Se 32nd Ave Milwaukie OR 97222-6514 Ph: (503) 659-4988 |
| NPI Number | 1083638589 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 06/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083638589 | NPI | - | NPPES |
| 230426 | Medicaid | OR | |
| CE8055 | Other | OR | RAILROAD GROUP PTAN |
| 38D0624596 | Other | OR | CLIA |
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