Precious Memory Family Medical Clinic Llc | |
7620 Ne Killingsworth St Ste 100 Portland OR 97218-3763 | |
(503) 858-0202 | |
Not Available |
Full Name | Precious Memory Family Medical Clinic Llc |
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Speciality | Clinic/center - Primary Care |
Location | 7620 Ne Killingsworth St Ste 100, Portland, Oregon |
Authorized Official Name and Position | Morry A Anotta (PROVIDER) |
Authorized Official Contact | 5033842392 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Precious Memory Family Medical Clinic Llc 7620 Ne Killingsworth Suit 100 Portland OR 97218 Ph: (503) 384-2392 | Precious Memory Family Medical Clinic Llc 7620 Ne Killingsworth St Ste 100 Portland OR 97218-3763 Ph: (503) 858-0202 |
NPI Number | 1659821023 |
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Provider Enumeration Date | 10/10/2016 |
Last Update Date | 10/26/2017 |
Identifier | Type | State | Issuer |
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1659821023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 201250053NP (Oregon) | Primary |
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