Organization
NANCY BORMAN, D.O., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY LYNNE BORMAN D.O. (OWNER/PHYSICIAN)
(503) 548-4008
Entity
Organization
Contact information
Practice address
1585 SW MARLOW AVE, SITE 200, PORTLAND, OR 97225-5176
(503) 548-4008
(971) 266-8251
Mailing address
1585 SW MARLOW AVE, SITE 200, PORTLAND, OR 97225-5176
(503) 548-4008
(971) 266-8251
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO19719
OR
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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