<unavail> in Portland, OR - General Practice

is a primary clinic (General Practice) in Portland, Oregon. The current practice location for is 4411 Sw Vermont St, Portland, Oregon. For appointments, you can reach them via phone at (503) 494-9992. The mailing address for is 1400 Sw 5th Ave Ste 500, Portland, Oregon and phone number is (503) 494-8417.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1033466206. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (503) 494-9992.

Contact Information


	4411 Sw Vermont St Portland OR 97219-1020
	(503) 494-9992
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	General Practice
Location	4411 Sw Vermont St, Portland, Oregon
Authorized Official Name and Position	Kelly Smith (VICE PRESIDENT, ERC)
Authorized Official Contact	5034948417
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1400 Sw 5th Ave Ste 500 Portland OR 97201-5537 Ph: (503) 494-8417	4411 Sw Vermont St Portland OR 97219-1020 Ph: (503) 494-9992

NPI Details:

NPI Number	1033466206
Provider Enumeration Date	08/07/2012
Last Update Date	08/03/2022

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033466206	NPI	-	NPPES
500646498 (MCD)	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	(* (Not Available))	Primary

Reviews and Comments

General Practice in Portland, OR

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- Primary Care in Portland, OR