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Organization

RKI PRIMARY CARE AT HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
UCHECHUKWU EZEDI FNP (CEO/OWNER)
(781) 971-2525
Entity
Organization

Contact information

Practice address
2685 25TH AVE, FOREST GROVE, OR 97116-3098
(781) 971-2525
Mailing address
2685 25TH AVE, FOREST GROVE, OR 97116-3098
(781) 971-2525

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
04/29/2026
Last updated
04/29/2026
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