Organization
PRECIOUS MEMORY FAMILY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRY A ANOTTA DNP (PROVIDER)
(503) 384-2392
Entity
Organization
Contact information
Practice address
7620 NE KILLINGSWORTH ST STE 100, PORTLAND, OR 97218-3763
(503) 858-0202
Mailing address
7620 NE KILLINGSWORTH SUIT 100, PORTLAND, OR 97218
(503) 384-2392
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
201250053NP
OR
Other
Enumeration date
10/10/2016
Last updated
10/26/2017
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