PHYSICIAN ON DUTY NPI 1275787780

NPI Information

PHYSICIAN ON DUTY is a general practice in Beaverton, OR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PHYSICIAN ON DUTY NPI is 1275787780. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14805 SW BLANTON ST.
BEAVERTON, OR
ZIP 97007
Phone: (503) 957-9632

The provider's authorized official is Sandra L Jolly .
The authorized official title is Billing Manager and has the following contact phone number (503) 726-4685.

The enumeration date for this NPI number is 11/11/2008 and was last updated on 11/11/2008.

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:

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