Organization
PORTLAND AVENUE CLINIC MANAGEMENT
Active
Other names
Portland Avenue Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. POLY LENG (MANAGER)
(253) 476-9121
Entity
Organization
Contact information
Practice address
4314 E PORTLAND AVE, SUITE7, TACOMA, WA 98404-4696
(253) 476-9121
(253) 476-8942
Mailing address
4314 E PORTLAND AVE, SUITE7, TACOMA, WA 98404-4696
(253) 476-9121
(253) 476-8942
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7084163
—
WA
Enumeration date
03/07/2007
Last updated
03/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us