Organization
FAMILY HEALTH PRACTITIONERS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA K INMAN FNP (OWNER)
(503) 263-6611
Entity
Organization
Contact information
Practice address
143 NW 4TH AVE, CANBY, OR 97013-3101
(503) 263-6611
(503) 266-5674
Mailing address
143 NW 4TH AVE, CANBY, OR 97013-3101
(503) 263-6611
(503) 266-5674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OR
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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