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5050 Ne Hoyt St Suite 540 Portland OR 97213-2985 | |
(503) 215-6601 | |
(503) 215-6727 |
Full Name | |
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Speciality | Clinic/center |
Location | 5050 Ne Hoyt St, Portland, Oregon |
Authorized Official Name and Position | Keenan B Freeman (CFO) |
Authorized Official Contact | 5038936524 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3158 Portland OR 97208-3158 Ph: () - | 5050 Ne Hoyt St Suite 540 Portland OR 97213-2985 Ph: (503) 215-6601 |
NPI Number | 1205188893 |
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Provider Enumeration Date | 10/08/2012 |
Last Update Date | 09/23/2013 |
Identifier | Type | State | Issuer |
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1205188893 | NPI | - | NPPES |
500653865 | Medicaid | OR |
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 | |