OREGON CITY MEDICAL NPI 1457604654

NPI Information

NPI: 1457604654
Provider Name: OREGON CITY MEDICAL

Other Name: BEAVERTON FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
17200 NW CORRIDOR CT
SUITE 110
BEAVERTON, OR
ZIP 97006
Phone: (503) 213-3800
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OREGON CITY MEDICAL is a primary care clinic center in Beaverton, OR. OREGON CITY MEDICAL NPI is 1457604654. The provider is registered as an organization entity type.
The provider Other Name Is Beaverton Family Medicine.

The provider's business location address is:

17200 NW CORRIDOR CT
SUITE 110
BEAVERTON, OR
ZIP 97006-295
Phone: (503) 213-3800
Fax: (503) 747-5345

The provider's authorized official is Keith Haines .
The authorized official title is Manager and has the following contact phone number (503) 213-3800.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 10/25/2012.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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