| Gps Ii Pc | |
|
5402 Sw Joshua St Tualatin OR 97062-9771 | |
| (503) 201-9811 | |
| Not Available |
| Full Name | Gps Ii Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5402 Sw Joshua St, Tualatin, Oregon |
| Authorized Official Name and Position | George Spady (PRESIDENT) |
| Authorized Official Contact | 5032019811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gps Ii Pc 5402 Sw Joshua St Tualatin OR 97062-9771 Ph: (503) 201-9811 | Gps Ii Pc 5402 Sw Joshua St Tualatin OR 97062-9771 Ph: (503) 201-9811 |
| NPI Number | 1033318431 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 04/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033318431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Oregon) | Primary |
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