Organization
SALVIA MEDICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AGNES WHITE FNP (PARTNER)
(503) 609-0780
Entity
Organization
Contact information
Practice address
443 NE KNOTT ST, PORTLAND, OR 97212-3179
(503) 609-0780
(503) 282-1990
Mailing address
443 NE KNOTT ST, PORTLAND, OR 97212-3179
(503) 609-0780
(503) 282-1990
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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