Organization
HEALING PRESENCE FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA RAYNE ANDERSON FNP-C (OWNER)
(503) 819-9726
Entity
Organization
Contact information
Practice address
30250 SW PARKWAY AVE, SUITE 7, WILSONVILLE, OR 97070-9757
(503) 819-9726
Mailing address
29030 SW TOWN CENTER LOOP E, SUITE 202 PO BOX 260, WILSONVILLE, OR 97070-9490
(503) 819-9726
(503) 582-8337
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070131
—
OR
Enumeration date
04/16/2007
Last updated
07/31/2007
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