| Ups Portland (cdrc - Expansion) | |
|
707 Sw Gaines St Portland OR 97239-2901 | |
| (503) 494-9000 | |
| Not Available |
| Full Name | Ups Portland (cdrc - Expansion) |
|---|---|
| Speciality | General Practice |
| Location | 707 Sw Gaines St, Portland, Oregon |
| Authorized Official Name and Position | Thomas Heckler (ASSOCIATE DEAN) |
| Authorized Official Contact | 5034944481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ups Portland (cdrc - Expansion) 3181 Sw Sam Jackson Park Rd Mail Code Umg Portland OR 97239-3011 Ph: (503) 494-8471 | Ups Portland (cdrc - Expansion) 707 Sw Gaines St Portland OR 97239-2901 Ph: (503) 494-9000 |
| NPI Number | 1598021024 |
|---|---|
| Provider Enumeration Date | 04/10/2012 |
| Last Update Date | 04/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598021024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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