First Avenue Clinic

NPI 1710173190 - Clinic/Center - 261QM2500X

NPI Details
NPI 1710173190
Enumeration Date 09/19/2007
Last Updated 09/19/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIANN LYNN DIANN
Position NATUROPATHIC PHYSICIAN
Phone (503) 266-2000
Fax (503) 266-2015
Practice Location
322 NW 1ST AVE
CANBY OR, 97013-3533, US
Phone (503) 266-2000
Fax (503) 266-2015
Business Location
322 NW 1ST AVE
CANBY OR, 97013-3533, US
Phone (503) 266-2000
Fax (503) 266-2015
Toxanomy
Taxonomy Code 261QM2500X
License State Oregon
License Number 1420
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According to our database, First Avenue Clinic NPI is 1710173190, taxonomy code is 261QM2500X and license number is 1420, license state is located at Oregon. First Avenue Clinic physically located at 322 Nw 1st Ave, Canby OR, 97013-3533. NPI Number 1033115704 has the healthcare provider type.

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1710173190 NPI number is provided on an as is basis without warranty of any kind. 1710173190 is maintained by the National Plan & Provider Enumeration System. The contents of First Avenue Clinic are for informational purposes only.