Organization
FAMILY WALK IN MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAGUFTA HASAN MD (MEDICAL DIRECTOR)
(503) 531-3858
Entity
Organization
Contact information
Practice address
15280 NW CENTRAL DR, SUITE 204, PORTLAND, OR 97229
(503) 531-3858
(503) 645-1110
Mailing address
15280 NW CENTRAL DR, SUITE 204, PORTLAND, OR 97229
(503) 531-3858
(503) 645-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287934
—
OR
Enumeration date
05/15/2008
Last updated
03/22/2016
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