Organization
HOLY FAMILY CATHOLIC CLINIC, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JOSE (BUSINESS MANAGER)
(503) 994-4353
Entity
Organization
Contact information
Practice address
21810 WILLAMETTE DR, WEST LINN, OR 97068-3256
(503) 994-4353
Mailing address
21810 WILLAMETTE DR, WEST LINN, OR 97068-3256
(503) 994-4353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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