Organization
TRANSITIONAL LIFE CARE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELVIN ZOOK CEO (ADMINISTRATOR)
(503) 550-4750
Entity
Organization
Contact information
Practice address
15604 SW ROCK OF AGES RD, MCMINNVILLE, OR 97128-8531
(971) 261-6130
(971) 241-6146
Mailing address
15600 SW ROCK OF AGES RD, MCMINNVILLE, OR 97128-8531
(971) 261-6130
(971) 261-6146
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
11/21/2019
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