| |
4511 Se Hawthorne Blvd Ste 214 Portland OR 97215-3170 | |
(415) 377-2312 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 4511 Se Hawthorne Blvd Ste 214, Portland, Oregon |
Authorized Official Name and Position | Amity Mead (PRESIDENT) |
Authorized Official Contact | 7028718535 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3225 Mcleod Dr Ste 100 Las Vegas NV 89121-2257 Ph: () - | 4511 Se Hawthorne Blvd Ste 214 Portland OR 97215-3170 Ph: (415) 377-2312 |
NPI Number | 1891382313 |
---|---|
Provider Enumeration Date | 12/30/2020 |
Last Update Date | 01/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891382313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | 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 | |