CANBY HEALTHCARE CLINIC LLC is a primary care clinic center in Canby, OR. CANBY HEALTHCARE CLINIC LLC NPI is 1083915508. The provider is registered as an organization entity type.
The provider's business location address is:
703 SE 1ST AVE
CANBY, OR
ZIP 97013-849
Phone: (503) 266-7686
Fax: (503) 266-7382
The provider's authorized official is Karen Elizabeth Shaw .
The authorized official title is Staff Adult Nurse Practitioner and has the following contact phone number (503) 266-7686.
The CLIA number assigned to this NPI record is 38D0880566 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/15/2010 and was last updated on 11/15/2010.