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Organization

PREMISE HEALTH OF OREGON MEDICAL P C

Active
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Organization

PREMISE HEALTH OF OREGON MEDICAL P C

Active
Other names
Occupational Health Services Roncler Acres 4
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN LEIZMAN (PRESIDENT)
(216) 479-9063
Entity
Organization

Contact information

Practice address
2501 NE CENTURY BLVD, HILLSBORO, OR 97124-5506
(502) 613-6266
(503) 214-5886
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
04/01/2022
Last updated
10/13/2022
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