Organization
OREGON CITY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELLE BLACKWELL FNP (OWNER)
(503) 656-9030
Entity
Organization
Contact information
Practice address
728 MOLALLA AVE STE A&B, OREGON CITY, OR 97045-2799
(503) 656-9030
(503) 656-9026
Mailing address
728 MOLALLA AVE STE A&B, OREGON CITY, OR 97045-2799
(503) 656-9030
(503) 656-9026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262804
—
OR
Enumeration date
02/18/2008
Last updated
02/18/2008
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