Organization
CREEKSIDE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA MARIE CRONE D.O. (PRESIDENT)
(503) 239-7030
Entity
Organization
Contact information
Practice address
9200 SE 91ST AVE, SUITE #220, HAPPY VALLEY, OR 97086-3756
(503) 239-7030
(503) 239-7220
Mailing address
9200 SE 91ST AVE, SUITE #220, HAPPY VALLEY, OR 97086-3756
(503) 239-7030
(503) 239-7220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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