Woodstock Family Medicine Llc

NPI 1003055237 - Family Medicine - 207Q00000X

NPI Details
NPI 1003055237
Enumeration Date 02/11/2009
Last Updated 02/11/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MELANIE J MELANIE
Position PROVIDER
Phone (503) 236-1830
Fax (503) 236-1908
Practice Location
5536 SE WOODSTOCK BLVD
PORTLAND OR, 97206-6829, US
Phone (503) 236-1830
Fax (503) 236-1908
Business Location
5536 SE WOODSTOCK BLVD
PORTLAND OR, 97206-6829, US
Phone (503) 236-1830
Fax (503) 236-1908
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1003055237 NPI Number
 

According to our database, Woodstock Family Medicine Llc NPI is 1003055237, taxonomy code is 207Q00000X Woodstock Family Medicine Llc physically located at 5536 Se Woodstock Blvd, Portland OR, 97206-6829. NPI Number 1033115704 has the healthcare provider type.

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1003055237 NPI number is provided on an as is basis without warranty of any kind. 1003055237 is maintained by the National Plan & Provider Enumeration System. The contents of Woodstock Family Medicine Llc are for informational purposes only.