Organization
PHENIX HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JACOBSEN (CCO)
(503) 344-1850
Entity
Organization
Contact information
Practice address
5825 NW PINEFARM PL, SUITE B, HILLSBORO, OR 97124-8563
(503) 344-1850
Mailing address
5825 NW PINEFARM PL, SUITE B, HILLSBORO, OR 97124-8563
(503) 344-1850
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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