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18610 Nw Cornell Rd Suite 101 Hillsboro OR 97124 | |
(503) 216-9360 | |
(503) 216-9363 |
Full Name | |
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Speciality | Clinic/center |
Location | 18610 Nw Cornell Rd, Hillsboro, Oregon |
Authorized Official Name and Position | Donald Wayne Anderson (ASST CORP SECRETARY FOR ENROLLMENTS) |
Authorized Official Contact | 4255255392 |
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: (503) 215-6494 | 18610 Nw Cornell Rd Suite 101 Hillsboro OR 97124 Ph: (503) 216-9360 |
NPI Number | 1700987401 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 07/09/2018 |
Identifier | Type | State | Issuer |
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1700987401 | NPI | - | NPPES |
022870 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 971 Sw Walnut St, Hillsboro, OR 97123 Phone: 971-281-3000 Fax: 503-352-8658 | |
Symmetry Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Se Oak St, Hillsboro, OR 97123 Phone: 503-214-2530 | |
Edward F Clarke Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Se Ninth, Suite D, Hillsboro, OR 97123 Phone: 503-648-7128 Fax: 503-640-1727 | |