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Organization

THE SPORTS & SPINE CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIMMY D HUEBERT MD (OWNER/PHYSICIAN)
(503) 691-2000
Entity
Organization

Contact information

Practice address
7654 SW MOHAWK ST BLDG K, TUALATIN, OR 97062-8119
(503) 691-2000
(503) 691-2001
Mailing address
7654 SW MOHAWK ST BLDG K, TUALATIN, OR 97062-8119
(503) 691-2000
(503) 691-2001

Taxonomy

Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
08/21/2013
Last updated
09/14/2021
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