Oregon Clinic Pc

NPI 1265417174 - Specialist - 174400000X

NPI Details
NPI 1265417174
Enumeration Date 12/13/2005
Last Updated 12/14/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CRAIG S CRAIG
Position CEO PRESIDENT
Phone (503) 963-2801
Fax (503) 963-2825
Practice Location
847 NE 19TH AVE
SUITE 300
PORTLAND OR, 97232-2684, US
Phone (503) 963-2801
Fax (503) 963-2825
Business Location
PO BOX 5087 MAIL STOP 163
PORTLAND OR, 97208, US
Phone (503) 963-2801
Fax (503) 963-2825
Toxanomy
Taxonomy Code 174400000X
License State Oregon
License Number 160412
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According to our database, Oregon Clinic Pc NPI is 1265417174, taxonomy code is 174400000X and license number is 160412, license state is located at Oregon. Oregon Clinic Pc physically located at 847 Ne 19th Ave, Portland OR, 97232-2684. NPI Number 1033115704 has the healthcare provider type.

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1265417174 NPI number is provided on an as is basis without warranty of any kind. 1265417174 is maintained by the National Plan & Provider Enumeration System. The contents of Oregon Clinic Pc are for informational purposes only.