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2043 College Way Forest Grove OR 97116-1756 | |
(877) 722-8648 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 2043 College Way, Forest Grove, Oregon |
Authorized Official Name and Position | Lisa Downing (COMPLIANCE OFFICER) |
Authorized Official Contact | 5033522663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2043 College Way Forest Grove OR 97116-1756 Ph: (503) 352-2896 | 2043 College Way Forest Grove OR 97116-1756 Ph: (877) 722-8648 |
NPI Number | 1629421805 |
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Provider Enumeration Date | 07/22/2016 |
Last Update Date | 11/14/2023 |
Identifier | Type | State | Issuer |
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1629421805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MD157616 (Oregon) | Primary |
Maple Street Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1825 Maple St, Forest Grove, OR 97116 Phone: 503-357-2136 Fax: 503-359-5479 | |
Marilyn J Booth Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7194 Fax: 503-357-5735 | |
Bours Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3303 19th Ave, Forest Grove, OR 97116 Phone: 503-357-6119 Fax: 503-359-5750 | |
Northwest Pain Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2005 Cedar St, Forest Grove, OR 97116 Phone: 503-883-8297 | |