| Ehco | |
|
25195 Sw Parkway Ave Wilsonville OR 97070-9651 | |
| (503) 765-6020 | |
| (503) 741-2184 |
| Full Name | Ehco |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 25195 Sw Parkway Ave, Wilsonville, Oregon |
| Authorized Official Name and Position | Stephanie N Culver (PRESIDENT, CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 5037656020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehco 20625 Sw 90th Ave Tualatin OR 97062-6323 Ph: (503) 765-6020 | Ehco 25195 Sw Parkway Ave Wilsonville OR 97070-9651 Ph: (503) 765-6020 |
| NPI Number | 1790179323 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 03/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790179323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2042 (Oregon) | Primary |
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