Organization
FAMILY PRACTICE CLINIC LLC
Active
Other names
Family Practice Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA E CARTER (OWNER)
(503) 244-4268
Entity
Organization
Contact information
Practice address
10250 SW GREENBURG RD, SUITE 110 BUILDING 4, PORTLAND, OR 97223-5443
(503) 244-4268
(503) 244-4261
Mailing address
10250 SW GREENBURG RD, SUITE 110 BUILDING 4, PORTLAND, OR 97223-5443
(503) 244-4268
(503) 244-4261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO22368
OR
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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