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7240 Ne Sandy Blvd Portland OR 97213-5741 | |
(503) 335-8700 | |
(503) 445-6695 |
Full Name | |
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Speciality | Family Medicine |
Location | 7240 Ne Sandy Blvd, Portland, Oregon |
Authorized Official Name and Position | John T Pham (PHYSICIAN/OWNER) |
Authorized Official Contact | 5033358700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7240 Ne Sandy Blvd Portland OR 97213-5741 Ph: (503) 335-8700 | 7240 Ne Sandy Blvd Portland OR 97213-5741 Ph: (503) 335-8700 |
NPI Number | 1891964409 |
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Provider Enumeration Date | 02/27/2008 |
Last Update Date | 08/15/2009 |
Identifier | Type | State | Issuer |
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1891964409 | NPI | - | NPPES |
226856 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO23388 (Oregon) | Primary |
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