Organization
UNITED MEDICAL GROUP, PC
Active
Other names
United Urgent Care And Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA L SULLIVAN (CLINIC MANAGER)
(503) 788-6483
Entity
Organization
Contact information
Practice address
9975 SW FREWING ST, SUITE 110, TIGARD, OR 97223-5091
(503) 788-6483
(503) 772-7914
Mailing address
9975 SW FREWING ST, SUITE 110, TIGARD, OR 97223-5091
(503) 788-6483
(503) 772-7914
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
952793-95
OR
261QU0200X
Urgent Care Clinic/Center
952793-95
OR
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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