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Organization
MT HOOD WOMEN'S HEALTH PC
Active
Organization
MT HOOD WOMEN'S HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE J BEEBLE ADMINISTRATOR (ADMINISTRATOR)
(503) 491-9444
Entity
Organization
Contact information
Practice address
24850 SE STARK ST, SUITE 200, GRESHAM, OR 97030
(503) 491-9444
(503) 661-1420
Mailing address
24850 SE STARK ST.,, SUITE 200, GRESHAM, OR 97030
(503) 491-9444
(503) 661-1420
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12-00004737
OR
261QM2500X
Medical Specialty Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278550
—
OR
Enumeration date
11/14/2006
Last updated
01/26/2012
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