VIRGINIA GARCIA MEMORIAL HEALTH CENTER NPI 1184105082

NPI Information

VIRGINIA GARCIA MEMORIAL HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Beaverton, OR. VIRGINIA GARCIA MEMORIAL HEALTH CENTER NPI is 1184105082. The provider is registered as an organization entity type.
The provider Is Doing Business As Virginia Garcia Beaverton Wellness Dental.

The provider's business location address is:

2725 SW CEDAR HILLS BLVD STE 200
BEAVERTON, OR
ZIP 97005-344
Phone: (503) 352-7990

The provider's authorized official is Annmarie Dennis .
The authorized official title is Corporate Compliance Officer and has the following contact phone number (503) 214-1652.

The enumeration date for this NPI number is 8/28/2018 and was last updated on 8/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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