| Portland Birth And Body | |
|
443 Ne Knott St Portland OR 97212-3108 | |
| (503) 567-9950 | |
| Not Available |
| Full Name | Portland Birth And Body |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 443 Ne Knott St, Portland, Oregon |
| Authorized Official Name and Position | Jessica Quiroz Zuniga (OWNER) |
| Authorized Official Contact | 4153422570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Birth And Body 443 Ne Knott St Portland OR 97212-3108 Ph: (503) 567-9950 | Portland Birth And Body 443 Ne Knott St Portland OR 97212-3108 Ph: (503) 567-9950 |
| NPI Number | 1457014631 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 11/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457014631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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