Organization
DIVISION STREET FAMILY PRACTICE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T RASOR MD (OWNER)
(503) 656-1481
Entity
Organization
Contact information
Practice address
1508 DIVISION ST, 25, OREGON CITY, OR 97045-1582
(503) 656-1481
(503) 655-2399
Mailing address
PO BOX 1930, OREGON CITY, OR 97045-0067
(503) 656-1481
(503) 655-2399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213604
—
OR
Enumeration date
06/18/2006
Last updated
05/06/2008
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