| Beaverton Family Medicine | |
|
17200 Nw Corridor Ct Suite 110 Beaverton OR 97006-3295 | |
| (503) 213-3800 | |
| Not Available |
| Full Name | Beaverton Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 17200 Nw Corridor Ct, Beaverton, Oregon |
| Authorized Official Name and Position | Keith Haines (OWNER) |
| Authorized Official Contact | 5032133800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaverton Family Medicine 17200 Nw Corridor Ct Suite 110 Beaverton OR 97006-3295 Ph: (503) 213-3800 | Beaverton Family Medicine 17200 Nw Corridor Ct Suite 110 Beaverton OR 97006-3295 Ph: (503) 213-3800 |
| NPI Number | 1255607446 |
|---|---|
| Provider Enumeration Date | 04/01/2012 |
| Last Update Date | 06/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255607446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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