Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Children's Redmond
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
333 NW LARCH AVE # 110, REDMOND, OR 97756-1186
(503) 221-3422
(503) 227-5022
Mailing address
PO BOX 8500 LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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