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Organization

CANBY HEALTHCARE CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN ELIZABETH SHAW ANP (STAFF ADULT NURSE PRACTITIONER)
(503) 266-7686
Entity
Organization

Contact information

Practice address
703 SE 1ST AVE, CANBY, OR 97013-3849
(503) 266-7686
(503) 266-7382
Mailing address
18320 S WALKER RD, OREGON CITY, OR 97045-9326
(503) 631-3420

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
085074804
OR

Other

Enumeration date
11/15/2010
Last updated
11/15/2010
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