Organization
PRIME PERFUSION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN LEDER (PRESIDENT)
(503) 951-3175
Entity
Organization
Contact information
Practice address
26150 S GELBRICH RD, CANBY, OR 97013-9153
(503) 951-3175
Mailing address
26150 S GELBRICH RD, CANBY, OR 97013-9153
(503) 951-3175
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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