Bright Medicine Clinic

NPI 1023437803 - Clinic/Center - 261Q00000X

NPI Details
NPI 1023437803
Enumeration Date 04/09/2014
Last Updated 04/09/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARK GABRIEL MARK
Position PROPRIETER
Phone (971) 231-4325
Fax (971) 239-1913
Practice Location
827 NE ALBERTA ST
PORTLAND OR, 97211-4578, US
Phone (971) 231-4325
Fax (971) 239-1913
Business Location
827 NE ALBERTA ST
PORTLAND OR, 97211-4578, US
Phone (971) 231-4325
Fax (971) 239-1913
Toxanomy
Taxonomy Code 261Q00000X
License State Oregon
License Number 1842
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According to our database, Bright Medicine Clinic NPI is 1023437803, taxonomy code is 261Q00000X and license number is 1842, license state is located at Oregon. Bright Medicine Clinic physically located at 827 Ne Alberta St, Portland OR, 97211-4578. NPI Number 1033115704 has the healthcare provider type.

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1023437803 NPI number is provided on an as is basis without warranty of any kind. 1023437803 is maintained by the National Plan & Provider Enumeration System. The contents of Bright Medicine Clinic are for informational purposes only.