Organization
OREGON SPORTS MEDICINE ASSOCIATES
Active
Other names
Sports Medicine Oregon
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GREENLEAF M.D. (PRESIDENT)
(503) 692-8700
Entity
Organization
Contact information
Practice address
909 SW 18TH AVE, PORTLAND, OR 97205-1705
(503) 692-8700
(503) 692-8710
Mailing address
7300 SW CHILDS RD, SUITE B, TIGARD, OR 97224-7772
(503) 692-8700
(503) 692-8710
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
04/19/2012
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