Organization
ESTACADA DIRECT PRIMARY CARE, LLC
Active
Other names
Estacada Direct Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LEE ORTH DO (OWNER)
(503) 852-5668
Entity
Organization
Contact information
Practice address
107 NW 5TH AVE, ESTACADA, OR 97023-7732
(503) 852-5668
(971) 399-8728
Mailing address
107 NW 5TH AVE, ESTACADA, OR 97023-7732
(503) 852-5668
(971) 399-8728
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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