Organization
OAKRIDGE MEDICAL CLINIC
Active
Other names
H Freeman Harris, M.D. P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA BENTS NICOLL (CLINIC MANAGER)
(503) 534-5135
Entity
Organization
Contact information
Practice address
4309 OAKRIDGE RD, LAKE OSWEGO, OR 97035-3418
(503) 636-9687
(503) 636-9680
Mailing address
4309 OAKRIDGE RD, LAKE OSWEGO, OR 97035-3418
(503) 636-9687
(503) 636-9680
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD09151
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086264
—
OR
Enumeration date
05/06/2008
Last updated
05/06/2008
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