Organization
GRESHAM TROUTDALE FAMILY MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY MICHAEL KNOPF MD (MEDICAL DIRECTOR)
(503) 491-2422
Entity
Organization
Contact information
Practice address
1700 SW 257TH AVE, TROUTDALE, OR 97060-1900
(503) 491-2422
(503) 491-2434
Mailing address
PO BOX 730, TROUTDALE, OR 97060-0730
(503) 491-2422
(503) 491-2434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228757
—
OR
Enumeration date
01/26/2007
Last updated
04/20/2008
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