Organization
PEOPLES COMMUNITY CLINIC OF NEWBERG LLC
Active
Other names
People's Community Clinic of Newberg
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JACQUELINE ARIELLE SMITH (OWNER)
(503) 449-8988
Entity
Organization
Contact information
Practice address
1014 N SPRINGBROOK RD STE B, NEWBERG, OR 97132-2061
(503) 449-8988
(503) 894-9194
Mailing address
1014 N SPRINGBROOK RD STE B, NEWBERG, OR 97132-2061
(503) 449-8988
(503) 894-9194
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
201350039NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500720379
—
OR
Enumeration date
09/26/2016
Last updated
08/18/2021
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