Organization
VIRGINIA GARCIA MEMORIAL HEALTH CENTER
Active
Other names
Virginia Garcia Beaverton Wellness Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANNMARIE DENNIS (CORPORATE COMPLIANCE OFFICER)
(503) 214-1652
Entity
Organization
Contact information
Practice address
2725 SW CEDAR HILLS BLVD STE 200, BEAVERTON, OR 97005-1344
(503) 352-7990
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-1898
—
OR
Enumeration date
08/28/2018
Last updated
08/19/2023
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