| Ohsu Scappoose Rural Health Clinic | |
|
51377 Sw Old Portland Rd Scappoose OR 97056-4023 | |
| (503) 418-4222 | |
| (503) 418-4223 |
| Full Name | Ohsu Scappoose Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 51377 Sw Old Portland Rd, Scappoose, Oregon |
| Authorized Official Name and Position | Joseph (joe) E Robertson (PRESIDENT, OHSU) |
| Authorized Official Contact | 5034948252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohsu Scappoose Rural Health Clinic 3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 Ph: () - | Ohsu Scappoose Rural Health Clinic 51377 Sw Old Portland Rd Scappoose OR 97056-4023 Ph: (503) 418-4222 |
| NPI Number | 1417969304 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 03/27/2019 |
| Medicare PECOS PAC ID | 1759328842 |
|---|---|
| Medicare Enrollment ID | O20050411000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417969304 | NPI | - | NPPES |
| 276320 | Medicaid | OR | |
| 7133135 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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