Gladstone Community Clinic

NPI 1063713717 - Clinic/Center - 261QC1500X

NPI Details
NPI 1063713717
Enumeration Date 11/11/2010
Last Updated 11/11/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name HANNAH E HANNAH
Position R.N.
Phone (503) 850-4472
Fax (503) 850-4473
Practice Location
18911 PORTLAND AVE
GLADSTONE OR, 97027-1630, US
Phone (503) 850-4472
Fax (503) 850-4473
Business Location
18911 PORTLAND AVE
GLADSTONE OR, 97027-1630, US
Phone
Fax
Toxanomy
Taxonomy Code 261QC1500X
License State Oregon
License Number 200243005RN
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According to our database, Gladstone Community Clinic NPI is 1063713717, taxonomy code is 261QC1500X and license number is 200243005RN, license state is located at Oregon. Gladstone Community Clinic physically located at 18911 Portland Ave, Gladstone OR, 97027-1630. NPI Number 1033115704 has the healthcare provider type.

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1063713717 NPI number is provided on an as is basis without warranty of any kind. 1063713717 is maintained by the National Plan & Provider Enumeration System. The contents of Gladstone Community Clinic are for informational purposes only.