Organization
NORTHWEST EXTREMITY SPECIALISTS LLC
Active
Other names
Northwest Extremity Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MERIDIAN PARK (AREA OPERATIONS DIRECTOR)
(503) 577-2964
Entity
Organization
Contact information
Practice address
6485 SW BORLAND RD STE A, TUALATIN, OR 97062-9762
(503) 352-1313
(503) 352-1314
Mailing address
6485 SW BORLAND RD STE A, TUALATIN, OR 97062-9762
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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