# FAMILY WALK IN MEDICAL CENTER, PC

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

## Provider details

- **NPI number:** 1194992305
- **Authorized official:** MRS. SHAGUFTA HASAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (503) 531-3858

## Contact information

- **Practice address:** 15280 NW CENTRAL DR, SUITE 204, PORTLAND, OR 97229
- **Practice address phone:** (503) 531-3858
- **Practice address fax:** (503) 645-1110
- **Mailing address:** 15280 NW CENTRAL DR, SUITE 204, PORTLAND, OR 97229
- **Mailing address phone:** (503) 531-3858
- **Mailing address fax:** (503) 645-1110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 03/22/2016