# UNDONO CARE PORTLAND 1, LLC

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

## Provider details

- **NPI number:** 1699218925
- **Authorized official:** TRINH DO (MANAGER)
- **Authorized official phone:** (503) 954-3219

## Contact information

- **Practice address:** 2850 SE 82ND AVE UNIT 8, PORTLAND, OR 97266-1599
- **Practice address phone:** (503) 954-3219
- **Practice address fax:** (503) 387-5223
- **Mailing address:** 2850 SE 82ND AVE UNIT 8, PORTLAND, OR 97266-1599
- **Mailing address phone:** (503) 954-3219
- **Mailing address fax:** (503) 387-5223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2016
- **Last updated:** 11/18/2016