Organization
THCF
Active
Other names
THCF Medical Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D PAUL STANFORD (EXECUTIVE DIRECTOR)
(503) 281-5100
Entity
Organization
Contact information
Practice address
105 SE 18TH AVE, PORTLAND, OR 97214-1559
(503) 281-5100
Mailing address
105 SE 18TH AVE, PORTLAND, OR 97214-1559
(503) 281-5100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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