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Organization
GRESHAM TROUTDALE FAMILY MEDICAL CENTER PC
Active
Organization
GRESHAM TROUTDALE FAMILY MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MICHAEL KNOPF MD (MEDICAL DIRECTOR)
(503) 491-2422
Entity
Organization
Contact information
Practice address
1700 SW 257TH AVE, TROUTDALE, OR 97060-1900
(503) 491-2422
(503) 491-2434
Mailing address
PO BOX 730, TROUTDALE, OR 97060-0730
(503) 491-2422
(503) 491-2434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
04/20/2008
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