| Virginia Garcia Memorial Health Center | |
|
12600 Sw Crescent St Suite 190 Beaverton OR 97005-1693 | |
| (503) 352-2354 | |
| Not Available |
| Full Name | Virginia Garcia Memorial Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12600 Sw Crescent St, Beaverton, Oregon |
| Authorized Official Name and Position | Annmarie Dennis (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Contact | 5032141652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Garcia Memorial Health Center Po Box 6149 Aloha OR 97007-0149 Ph: () - | Virginia Garcia Memorial Health Center 12600 Sw Crescent St Suite 190 Beaverton OR 97005-1693 Ph: (503) 352-2354 |
| NPI Number | 1376970277 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 08/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376970277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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