Sellwood Family Medicine | |
1567 Se Tacoma St Portland OR 97202-6643 | |
(503) 233-8113 | |
Not Available |
Full Name | Sellwood Family Medicine |
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Speciality | Family Medicine |
Location | 1567 Se Tacoma St, Portland, Oregon |
Authorized Official Name and Position | Patrick Daniel Chapman (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 5032338113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sellwood Family Medicine 1567 Se Tacoma St Portland OR 97202-6643 Ph: (503) 233-8113 | Sellwood Family Medicine 1567 Se Tacoma St Portland OR 97202-6643 Ph: (503) 233-8113 |
NPI Number | 1669646717 |
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Provider Enumeration Date | 04/19/2008 |
Last Update Date | 04/19/2008 |
Identifier | Type | State | Issuer |
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1669646717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 1345 (Oregon) | Primary |
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