| Vpa Pc Specialty Pha Or | |
|
13221 Sw 68th Pkwy Ste 200 Tigard OR 97223-8328 | |
| (844) 910-1529 | |
| (810) 230-0169 |
| Full Name | Vpa Pc Specialty Pha Or |
|---|---|
| Speciality | Family Medicine |
| Location | 13221 Sw 68th Pkwy Ste 200, Tigard, Oregon |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2488246600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpa Pc Specialty Pha Or Po Box 639295 Dept 93394 Cincinnati OH 45263-9295 Ph: (248) 434-6169 | Vpa Pc Specialty Pha Or 13221 Sw 68th Pkwy Ste 200 Tigard OR 97223-8328 Ph: (844) 910-1529 |
| NPI Number | 1790309474 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 04/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790309474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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