Organization
COLUMBIA FAMILY MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE A YATES MBA (CLINIC ADMINISTRATOR)
(503) 261-2618
Entity
Organization
Contact information
Practice address
5847 NE 122ND AVE, SUITE 201, PORTLAND, OR 97230-1079
(503) 256-3401
(503) 261-2600
Mailing address
5847 NE 122ND AVE, SUITE 201, PORTLAND, OR 97230-1079
(503) 256-3401
(503) 261-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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