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Organization
BAYBERRY CLINIC LLC
Active
Organization
BAYBERRY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW CHANG DO (PHYSICIAN OWNER)
(619) 931-3333
Entity
Organization
Contact information
Practice address
4115 N MISSISSIPPI AVE, PORTLAND, OR 97217-3130
(503) 749-5959
(503) 974-3959
Mailing address
4115 N MISSISSIPPI AVE, PORTLAND, OR 97217-3130
(503) 749-5959
(503) 974-3959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/16/2026
Last updated
09/16/2026
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