# P3 HEALTH PARTNERS-OREGON LLC

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

## Provider details

- **NPI number:** 1831708916
- **Authorized official:** AMIR BACCHUS MD (CMO)
- **Authorized official phone:** (702) 910-3950

## Contact information

- **Practice address:** 2525 12TH ST SE STE 240250, SALEM, OR 97302-2281
- **Practice address phone:** (971) 701-9058
- **Mailing address:** 2370 CORPORATE CIR STE 300, HENDERSON, NV 89074-7760
- **Mailing address phone:** (702) 910-3950
- **Mailing address fax:** (702) 778-2264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/24/2020
- **Last updated:** 07/24/2020