| One Family Medicine Llc | |
|
6214 Se Milwaukie Ave Portland OR 97202-5417 | |
| (503) 345-0039 | |
| (888) 391-6497 |
| Full Name | One Family Medicine Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 6214 Se Milwaukie Ave, Portland, Oregon |
| Authorized Official Name and Position | Kathleen Pratt (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5033450039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Family Medicine Llc 6214 Se Milwaukie Ave Portland OR 97202-5417 Ph: (503) 345-0039 | One Family Medicine Llc 6214 Se Milwaukie Ave Portland OR 97202-5417 Ph: (503) 345-0039 |
| NPI Number | 1669741609 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 12/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669741609 | NPI | - | NPPES |
| 1851610620 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1736 (Oregon) | Primary |
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