Ascent Pnw Providers | |
6800 Sw 105th Ave Ste 206 Beaverton OR 97008-5487 | |
(503) 430-1777 | |
(503) 372-5119 |
Full Name | Ascent Pnw Providers |
---|---|
Speciality | Internal Medicine |
Location | 6800 Sw 105th Ave Ste 206, Beaverton, Oregon |
Authorized Official Name and Position | Elizabeth Adair Moore (CEO) |
Authorized Official Contact | 5034301777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ascent Pnw Providers 6800 Sw 105th Ave Ste 206 Beaverton OR 97008-5487 Ph: (503) 430-1777 | Ascent Pnw Providers 6800 Sw 105th Ave Ste 206 Beaverton OR 97008-5487 Ph: (503) 430-1777 |
NPI Number | 1568354918 |
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Provider Enumeration Date | 07/18/2025 |
Last Update Date | 07/18/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568354918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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