Organization
FIRST AVENUE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANN LYNN FREASE N.D. (NATUROPATHIC PHYSICIAN)
(503) 266-2000
Entity
Organization
Contact information
Practice address
322 NW 1ST AVE, CANBY, OR 97013-3533
(503) 266-2000
(503) 266-2015
Mailing address
322 NW 1ST AVE, CANBY, OR 97013-3533
(503) 266-2000
(503) 266-2015
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1420
OR
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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