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Organization

WESTSIDE MEDICAL CLINIC

Active
Parent organization
TUALITY HEALTHCARE
Other names
Westside Medical Clinic/NW Orthopaedic Surgery & Sports Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
TUALITY HEALTHCARE
Authorized official
MANUEL BERMAN (PRESIDENT & CEO)
(503) 681-1567
Entity
Organization

Contact information

Practice address
21255 NW JACOBSON ROAD, SUITE 500, HILLSBORO, OR 97124-9317
(503) 439-8219
(503) 439-8838
Mailing address
372 SE 6TH AVE, SUITE 300, HILLSBORO, OR 97123-4284
(503) 681-5680
(503) 681-5688

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226907
OR
Enumeration date
03/16/2007
Last updated
12/16/2015
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