# NW OCCUPATIONAL MEDICINE CENTER

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

## Provider details

- **NPI number:** 1790921534
- **Authorized official:** SHARI WELCH (BILLING SPECIALIST)
- **Authorized official phone:** (503) 684-7246

## Contact information

- **Practice address:** 12250 SW GARDEN PL, PORTLAND, OR 97223-8246
- **Practice address phone:** (503) 684-7246
- **Practice address fax:** (503) 624-0724
- **Mailing address:** 12250 SW GARDEN PL, PORTLAND, OR 97223-8246
- **Mailing address phone:** (503) 684-7246
- **Mailing address fax:** (503) 624-0724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2008
- **Last updated:** 12/29/2008
