Organization
SILVERTON HOSPITAL DBA TUKWILA MEDICAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE MARIE POWERS (CLINIC MANAGER)
(503) 874-2458
Entity
Organization
Contact information
Practice address
693 GLATT CIR # 4, WOODBURN, OR 97071-9600
(503) 982-4878
Mailing address
693 GLATT CIR # 4, WOODBURN, OR 97071-9600
(503) 982-4878
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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