ONE FAMILY MEDICINE LLC NPI 1669741609

NPI Information

ONE FAMILY MEDICINE LLC is a clinic center in Portland, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ONE FAMILY MEDICINE LLC NPI is 1669741609. The provider is registered as an organization entity type.

The provider's business location address is:

6214 SE MILWAUKIE AVE
PORTLAND, OR
ZIP 97202-417
Phone: (503) 345-0039
Fax: (888) 391-6497

The provider's authorized official is Kathleen Pratt .
The authorized official title is Physician/owner and has the following contact phone number (503) 345-0039.

The enumeration date for this NPI number is 12/20/2011 and was last updated on 12/20/2011.

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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