Organization
LAKE OSWEGO FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE SELBY (CLINIC OWNER)
(503) 635-1350
Entity
Organization
Contact information
Practice address
4035 MERCANTILE DR, SUITE 104, LAKE OSWEGO, OR 97035-2546
(503) 635-1350
(503) 635-8470
Mailing address
4035 MERCANTILE DR, SUITE 104, LAKE OSWEGO, OR 97035-2546
(503) 635-1350
(503) 635-8470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO14260
OR
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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