| Mobile Vaccs LLC | |
|
3838 Se Saint Andrews Pl Gresham OR 97080-8421 | |
| (503) 858-7403 | |
| Not Available |
| Full Name | Mobile Vaccs LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 3838 Se Saint Andrews Pl, Gresham, Oregon |
| Authorized Official Name and Position | Cathryn Hansen (OWNER/OPERATOR) |
| Authorized Official Contact | 5038587403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Vaccs LLC 3838 Se Saint Andrews Pl Gresham OR 97080-8421 Ph: (503) 858-7403 | Mobile Vaccs LLC 3838 Se Saint Andrews Pl Gresham OR 97080-8421 Ph: (503) 858-7403 |
| NPI Number | 1215440557 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 11/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215440557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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