Organization
MOBILE VACCS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHRYN HANSEN (OWNER/OPERATOR)
(503) 858-7403
Entity
Organization
Contact information
Practice address
3838 SE SAINT ANDREWS PL, GRESHAM, OR 97080-8421
(503) 858-7403
Mailing address
3838 SE SAINT ANDREWS PL, GRESHAM, OR 97080-8421
(503) 858-7403
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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