Organization
ORTHOPEDICS NORTHWEST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN JEAN LIM (CLINIC ADMINISTRATOR)
(503) 639-6002
Entity
Organization
Contact information
Practice address
15755 SW SEQUOIA PKWY, SUITE 200, TIGARD, OR 97224-7166
(503) 639-6002
(503) 639-1403
Mailing address
15755 SW SEQUOIA PKWY, SUITE 200, TIGARD, OR 97224-7166
(503) 639-6002
(503) 620-4332
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138119
—
OR
Enumeration date
09/20/2006
Last updated
08/25/2021
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