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12106 Ne Ainsworth Cir Ste 5 Portland OR 97220-9001 | |
(541) 225-5551 | |
(301) 244-0995 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 12106 Ne Ainsworth Cir Ste 5, Portland, Oregon |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | 12106 Ne Ainsworth Cir Ste 5 Portland OR 97220-9001 Ph: (541) 225-5551 |
NPI Number | 1992470504 |
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Provider Enumeration Date | 08/16/2021 |
Last Update Date | 10/13/2022 |
Identifier | Type | State | Issuer |
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1992470504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |