| Nunm | |
|
3025 Sw Corbett Ave Portland OR 97201-4858 | |
| (503) 552-1551 | |
| Not Available |
| Full Name | Nunm |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3025 Sw Corbett Ave, Portland, Oregon |
| Authorized Official Name and Position | Regina Ida Dehen (CMO AND DEAN OF CLINICS) |
| Authorized Official Contact | 5035521966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nunm 049 Sw Porter St Portland OR 97201-4848 Ph: (503) 552-1551 | Nunm 3025 Sw Corbett Ave Portland OR 97201-4858 Ph: (503) 552-1551 |
| NPI Number | 1225412620 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 09/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225412620 | NPI | - | NPPES |
| 137646 | Medicaid | OR |
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