Organization
OAK GROVE FAMILY MEDICAL CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN J BELL (OFFICE MANAGER)
(503) 653-1860
Entity
Organization
Contact information
Practice address
2250 SE OAK GROVE BLVD #B, MILWAUKIE, OR 97267-2670
(503) 654-6567
(503) 653-2582
Mailing address
2250 SE OAK GROVE BLVD STE B, MILWAUKIE, OR 97267-2670
(503) 654-6567
(503) 653-2582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067039000
BLUE CROSS
OR
01
—
A001
CHAMPUS
OR
01
—
CF9670
RAILROAD MEDICARE
OR
Enumeration date
03/08/2006
Last updated
10/01/2025
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