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3203 Se Woodstock Blvd Portland OR 97202-8138 | |
(503) 517-7636 | |
(503) 777-7209 |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 3203 Se Woodstock Blvd, Portland, Oregon |
Authorized Official Name and Position | Michael A Brody (DIRECTOR OF HEALTH & COUNSELING SER) |
Authorized Official Contact | 5035177636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3203 Se Woodstock Blvd Portland OR 97202-8138 Ph: (503) 517-7636 | 3203 Se Woodstock Blvd Portland OR 97202-8138 Ph: (503) 517-7636 |
NPI Number | 1962696096 |
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Provider Enumeration Date | 08/31/2007 |
Last Update Date | 08/31/2007 |
Identifier | Type | State | Issuer |
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1962696096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QS1000X | Clinic/center - Student Health | (Oregon) | 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 | |