| Doctors Office Of Canby Pc | |
|
158 Sw 2nd Ave Canby OR 97013-4152 | |
| (503) 266-5500 | |
| Not Available |
| Full Name | Doctors Office Of Canby Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 158 Sw 2nd Ave, Canby, Oregon |
| Authorized Official Name and Position | David Bruce Mitchell (OWNER) |
| Authorized Official Contact | 5032665500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Office Of Canby Pc 158 Sw 2nd Ave Canby OR 97013-4152 Ph: (503) 266-5500 | Doctors Office Of Canby Pc 158 Sw 2nd Ave Canby OR 97013-4152 Ph: (503) 266-5500 |
| NPI Number | 1477668135 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477668135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD15466 (Oregon) | Primary |
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