Organization
KIDS FIRST PEDIATRIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BADIA JABBOUR MD (OWNER/MD)
(503) 730-1634
Entity
Organization
Contact information
Practice address
18603 WILLAMETTE DR, WEST LINN, OR 97068-1705
(503) 730-1634
Mailing address
18603 WILLAMETTE DR, WEST LINN, OR 97068-1705
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD28575
OR
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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