Organization
LUKEDORF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TOBY COWELL (HR)
(503) 726-3690
Entity
Organization
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
(503) 726-3691
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
(503) 726-3691
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
RN
OR
Other
Enumeration date
01/12/2017
Last updated
07/21/2022
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