Organization
ORTHOPEDIC & FRACTURE CLINIC PC
Active
Parent organization
ORTHOPEDIC & FRACTURE CLINIC, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC & FRACTURE CLINIC, PC
Authorized official
J BRAD V BUTLER V MD (PRESIDENT)
(503) 214-5200
Entity
Organization
Contact information
Practice address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613
Mailing address
11782 SW BARNES RD STE 200, PORTLAND, OR 97225-5931
(503) 906-4302
(503) 840-3004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146456
—
OR
Enumeration date
02/22/2019
Last updated
02/22/2019
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