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Organization
COLUMBIA MEDICAL CLINIC PC
Active
Organization
COLUMBIA MEDICAL CLINIC PC
Active
Other names
COLUMBIA CLINIC PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOANG QUANG NGUYEN M.D. (PRESIDENT)
(503) 777-5995
Entity
Organization
Contact information
Practice address
3202 SE 82ND AVE, PORTLAND, OR 97266-2004
(503) 777-5995
(503) 777-8005
Mailing address
3202 SE 82ND AVE, PORTLAND, OR 97266-2004
(503) 777-5995
(503) 777-8005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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