| Alpha Care Family Medicine | |
|
14455 Sw Allen Blvd Ste 100 Beaverton OR 97005-4428 | |
| (971) 708-4041 | |
| Not Available |
| Full Name | Alpha Care Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 14455 Sw Allen Blvd Ste 100, Beaverton, Oregon |
| Authorized Official Name and Position | Amany Bashir (PHYSICIAN) |
| Authorized Official Contact | 9717084041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Care Family Medicine 14455 Sw Allen Blvd Ste 100 Beaverton OR 97005-4428 Ph: (971) 708-4041 | Alpha Care Family Medicine 14455 Sw Allen Blvd Ste 100 Beaverton OR 97005-4428 Ph: (971) 708-4041 |
| NPI Number | 1750906509 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 09/09/2020 |
| Medicare PECOS PAC ID | 2264859172 |
|---|---|
| Medicare Enrollment ID | O20200824001824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750906509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Amany Bashir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245640572 PECOS PAC ID: 1951529130 Enrollment ID: I20170926000076 |
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