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Organization
PORTLAND CLINIC
Active
Organization
PORTLAND CLINIC
Active
Parent organization
PORTLAND CLINIC
Other names
Roger E. Alberty, M.D. Surgical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTLAND CLINIC
Authorized official
MR. DICK CLARK (CHIEF EXECUTIVE OFFICER)
(503) 221-0161
Entity
Organization
Contact information
Practice address
9100 SW OLESON ROAD, TIGARD, OR 97223
(503) 445-9066
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
(503) 221-4451
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/27/2007
Last updated
10/26/2020
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