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Organization

PORTLAND OBSTETRICS & GYNECOLOGY ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JACQUELINE ANN SOFICH (ADMINISTRATOR)
(503) 229-7353
Entity
Organization

Contact information

Practice address
1130 NW 22ND AVE, SUITE 120, PORTLAND, OR 97210
(503) 229-7353
(503) 229-7255
Mailing address
1130 NW 22ND AVE, SUITE 120, PORTLAND, OR 97210
(503) 229-7353
(503) 229-7255

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OR
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
06/18/2006
Last updated
04/22/2009
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