Organization
OREGON CITY MEDICAL
Active
Other names
Beaverton Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH HAINES (MANAGER)
(503) 213-3800
Entity
Organization
Contact information
Practice address
17200 NW CORRIDOR CT, SUITE 110, BEAVERTON, OR 97006-3295
(503) 213-3800
(503) 747-5345
Mailing address
17200 NW CORRIDOR CT, SUITE 110, BEAVERTON, OR 97006-3295
(503) 213-3800
(503) 747-5345
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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