Organization
EASTMORELAND ORTHOPEDIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W.H. HO D.O. (PRESIDENT)
(503) 234-0891
Entity
Organization
Contact information
Practice address
5225 SE 28TH AVE, PORTLAND, OR 97202-4506
(503) 234-0891
(503) 234-4059
Mailing address
5225 SE 28TH AVE, PORTLAND, OR 97202-4506
(503) 234-0891
(503) 234-4059
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO06594
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004312001
REGENCE BLUE CROSS BLUE SHIELD
OR
05
—
083998
—
OR
Enumeration date
05/22/2008
Last updated
05/22/2008
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