# 24 ON PHYSICIANS PC

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

## Provider details

- **NPI number:** 1063570745
- **Authorized official:** DAN FULLER (PRESIDENT)
- **Authorized official phone:** (770) 740-0895

## Contact information

- **Practice address:** 1500 DIVISION ST, OREGON CITY, OR 97045-1527
- **Practice address phone:** (503) 656-1631
- **Mailing address:** PO BOX 403631, ATLANTA, GA 30384-3631
- **Mailing address phone:** (770) 740-0895
- **Mailing address fax:** (770) 740-0896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/22/2020