Organization
SPORTS ORTHOPAEDIC AND REGENERATIVE MEDICINE CLINIC OF OREGON, LLC
Active
Other names
SOAR Ortho, SOAR Clinic of Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE P WILLIAMS (BUSINESS MANAGER)
(503) 427-9066
Entity
Organization
Contact information
Practice address
6485 SW BORLAND RD STE A, TUALATIN, OR 97062-9762
(503) 427-9066
(503) 966-7075
Mailing address
6485 SW BORLAND RD STE A, TUALATIN, OR 97062-9762
(503) 427-9066
(503) 966-7075
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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