Organization
CENTER FOR ENVIRONMENTAL MEDICINE, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN T WADE (OFFICE MANAGER)
(503) 261-0966
Entity
Organization
Contact information
Practice address
10748 NE HALSEY ST, PORTLAND, OR 97220-3961
(503) 261-0966
(503) 252-2691
Mailing address
10748 NE HALSEY ST, PORTLAND, OR 97220-3961
(503) 261-0966
(503) 252-2691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20138
OR
Other
Enumeration date
06/22/2006
Last updated
12/26/2007
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