| Gresham Women's Health LLC | |
|
515 Ne Roberts Ave Gresham OR 97030-7307 | |
| (503) 477-2478 | |
| Not Available |
| Full Name | Gresham Women's Health LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 515 Ne Roberts Ave, Gresham, Oregon |
| Authorized Official Name and Position | Nikkiel Lefebre (OWNER) |
| Authorized Official Contact | 5034597496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gresham Women's Health LLC 515 Ne Roberts Ave Gresham OR 97030-7307 Ph: (503) 477-2478 | Gresham Women's Health LLC 515 Ne Roberts Ave Gresham OR 97030-7307 Ph: (503) 477-2478 |
| NPI Number | 1114783396 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114783396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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