# HEALTH PRACTITIONER CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023183167
- **Authorized official:** MRS. BETTE GAY SEAGREN CFNP (OWNER)
- **Authorized official phone:** (503) 263-6611

## Contact information

- **Practice address:** 143 NW 4TH AVE, CANBY, OR 97013
- **Practice address phone:** (503) 263-6611
- **Practice address fax:** (503) 266-5674
- **Mailing address:** 143 NW 4TH AVE, CANBY, OR 97013
- **Mailing address phone:** (503) 263-6611
- **Mailing address fax:** (503) 266-5674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 000037573N1 | OR | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 11/01/2007