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Organization

O'DONOVAN CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL J. O'DONOVAN (OWNER/MANAGER)
(503) 738-5571
Entity
Organization

Contact information

Practice address
580 AVENUE U, SEASIDE, OR 97138-5065
(503) 738-5571
(503) 738-5573
Mailing address
580 AVENUE U, SEASIDE, OR 97138-5065
(503) 738-5571
(503) 738-5573

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
00038357
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286279
OR
Enumeration date
12/22/2005
Last updated
02/12/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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