| Maple Street Clinic, Pc | |
|
1825 Maple St Forest Grove OR 97116-1939 | |
| (503) 357-2136 | |
| (503) 359-5479 |
| Full Name | Maple Street Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1825 Maple St, Forest Grove, Oregon |
| Authorized Official Name and Position | John Dahlquist (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 5033572136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Street Clinic, Pc 1825 Maple St Forest Grove OR 97116-1939 Ph: (503) 357-2136 | Maple Street Clinic, Pc 1825 Maple St Forest Grove OR 97116-1939 Ph: (503) 357-2136 |
| NPI Number | 1225066194 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 01/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225066194 | NPI | - | NPPES |
| R0000WCBCC | Other | OR | MEDICARE PTIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Donald A. Compton Dmd, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2016 Main St, Forest Grove, OR 97116 Phone: 503-357-3711 Fax: 503-992-1939 | |
Marilyn J Booth Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7194 Fax: 503-357-5735 | |
Bours Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3303 19th Ave, Forest Grove, OR 97116 Phone: 503-357-6119 Fax: 503-359-5750 | |
Northwest Pain Institute Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2005 Cedar St, Forest Grove, OR 97116 Phone: 503-883-8297 | |
Timothy J Gray Do Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1909 Mountain View Ln, #200, Forest Grove, OR 97116 Phone: 503-359-4773 Fax: 503-359-3809 | |
Pacific University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 877-722-8648 |