| Virginia Garcia Beaverton Lifeworks | |
|
10700 Sw Beaverton Hillsdale Hwy Ste 11 Beaverton OR 97005-3035 | |
| (503) 641-1475 | |
| (503) 641-8548 |
| Full Name | Virginia Garcia Beaverton Lifeworks |
|---|---|
| Speciality | Clinic/Center |
| Location | 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, Oregon |
| Authorized Official Name and Position | Annmarie Dennis (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Contact | 5032141652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Garcia Beaverton Lifeworks Po Box 6149 Aloha OR 97007-0149 Ph: (503) 641-1475 | Virginia Garcia Beaverton Lifeworks 10700 Sw Beaverton Hillsdale Hwy Ste 11 Beaverton OR 97005-3035 Ph: (503) 641-1475 |
| NPI Number | 1649772658 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 08/19/2023 |
| Medicare PECOS PAC ID | 7113823881 |
|---|---|
| Medicare Enrollment ID | O20180827002770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649772658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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