# COLUMBIA MEDICAL CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COLUMBIA CLINIC PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184785842
- **Authorized official:** DR. HOANG QUANG NGUYEN M.D. (PRESIDENT)
- **Authorized official phone:** (503) 777-5995

## Contact information

- **Practice address:** 3202 SE 82ND AVE, PORTLAND, OR 97266-2004
- **Practice address phone:** (503) 777-5995
- **Practice address fax:** (503) 777-8005
- **Mailing address:** 3202 SE 82ND AVE, PORTLAND, OR 97266-2004
- **Mailing address phone:** (503) 777-5995
- **Mailing address fax:** (503) 777-8005

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 08/22/2020