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2222 Nw Lovejoy St Ste 522 Portland OR 97210-5103 | |
(971) 678-8426 | |
(503) 286-7939 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 2222 Nw Lovejoy St Ste 522, Portland, Oregon |
Authorized Official Name and Position | Richa Uppal (PHYSICIAN/OWNER) |
Authorized Official Contact | 9716788426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2222 Nw Lovejoy St Ste 522 Portland OR 97210-5103 Ph: (971) 229-4545 | 2222 Nw Lovejoy St Ste 522 Portland OR 97210-5103 Ph: (971) 678-8426 |
NPI Number | 1548084312 |
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Provider Enumeration Date | 11/08/2024 |
Last Update Date | 02/05/2025 |
Identifier | Type | State | Issuer |
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1548084312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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