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Organization
NORTHWEST EXTREMITY SPECIALISTS LLC
Active
Organization
NORTHWEST EXTREMITY SPECIALISTS LLC
Active
Other names
Northwest Extremity Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MERIDIAN PARK (AREA OPERATIONS DIRECTOR)
(503) 577-2964
Entity
Organization
Contact information
Practice address
6485 SW BORLAND RD STE A, TUALATIN, OR 97062-9762
(503) 352-1313
(503) 352-1314
Mailing address
6485 SW BORLAND RD STE A, TUALATIN, OR 97062-9762
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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