Organization
ORTHOPEDIC & SPORTS MEDICINE CENTER OF OR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY SUE BROWN CPPM CMPE (ADMINISTRATOR)
(503) 542-4849
Entity
Organization
Contact information
Practice address
51385 SW OLD PORTLAND RD, SUITE A, SCAPPOOSE, OR 97056-4061
(503) 224-8399
(503) 224-5661
Mailing address
17355 LOWER BOONES FERRY RD, SUITE 3100A, LAKE OSWEGO, OR 97035
(503) 224-8399
(503) 224-5661
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240298
—
OR
Enumeration date
03/27/2014
Last updated
08/22/2025
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