Organization
WOMEN'S HEALTH CENTER OF OREGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA BANCKE (CREDENTIALING COORDINATOR)
(503) 905-4361
Entity
Organization
Contact information
Practice address
1508 DIVISION ST, SUITE 205, OREGON CITY, OR 97045-1582
(503) 657-1071
(503) 657-3321
Mailing address
1508 DIVISION ST, STE 205, OREGON CITY, OR 97045-1582
(503) 657-1071
(503) 657-3321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD22411
OR
Other
Enumeration date
07/18/2006
Last updated
02/21/2012
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