<unavail> in Portland, OR

is a primary clinic (Clinic/center - Primary Care) in Portland, Oregon. The current practice location for is 9205 Sw Barnes Rd, Mt7878, Portland, Oregon. For appointments, you can reach them via phone at (503) 216-4961. The mailing address for is Po Box 3158, Portland, Oregon and phone number is (503) 215-6494.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1053403394. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (503) 216-4961.

Contact Information


	9205 Sw Barnes Rd Mt7878 Portland OR 97225-6603
	(503) 216-4961
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Primary Care
Location	9205 Sw Barnes Rd, Portland, Oregon
Authorized Official Name and Position	Donald Wayne Anderson (ASST SEC FOR ENROLLMENT/DIR REIMB S)
Authorized Official Contact	4255255392
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 3158 Portland OR 97208-3158 Ph: (503) 215-6494	9205 Sw Barnes Rd Mt7878 Portland OR 97225-6603 Ph: (503) 216-4961

NPI Details:

NPI Number	1053403394
Provider Enumeration Date	09/28/2006
Last Update Date	04/04/2024

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053403394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Portland, OR

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- Primary Care in Portland, OR