GENERATIONS FAMILY MEDICINE PROFESSIONAL CORPORATION NPI 1770926941

NPI Information

GENERATIONS FAMILY MEDICINE, PROFESSIONAL CORPORATION is a primary care clinic center in Portland, OR. GENERATIONS FAMILY MEDICINE, PROFESSIONAL CORPORATION NPI is 1770926941. The provider is registered as an organization entity type.
The provider Is Doing Business As Generations Family Medicine, P.c.

The provider's business location address is:

8106 NE WASCO ST
PORTLAND, OR
ZIP 97213-737
Phone: (503) 255-8258
Fax: (503) 252-1668

The provider's authorized official is Thanhlong Duc Pham .
The authorized official title is Physician and has the following contact phone number (503) 703-1500.

The enumeration date for this NPI number is 4/8/2013 and was last updated on 6/3/2013.

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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