| Brookside Center | |
|
10180 Se Sunnyside Rd Clackamas OR 97015-8970 | |
| (800) 813-2000 | |
| (503) 286-6879 |
| Full Name | Brookside Center |
|---|---|
| Speciality | General Practice |
| Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookside Center 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Brookside Center 10180 Se Sunnyside Rd Clackamas OR 97015-8970 Ph: (800) 813-2000 |
| NPI Number | 1659823896 |
|---|---|
| Provider Enumeration Date | 11/03/2016 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659823896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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