Organization
GRESHAM FAMILY CARE INC
Active
Other names
Care Plus You
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH HAINES (OWNER)
(503) 213-6600
Entity
Organization
Contact information
Practice address
1800 BLANKENSHIP RD STE 350, WEST LINN, OR 97068-4182
(503) 213-6600
(971) 350-7350
Mailing address
PO BOX 91, WEST LINN, OR 97068-0091
(503) 213-6600
(971) 350-7350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500774621
—
OR
Enumeration date
02/14/2020
Last updated
05/14/2020
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