| Nancy Borman, D.O., PC | |
|
1585 Sw Marlow Ave Site 200 Portland OR 97225-5176 | |
| (503) 548-4008 | |
| (971) 266-8251 |
| Full Name | Nancy Borman, D.O., PC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1585 Sw Marlow Ave, Portland, Oregon |
| Authorized Official Name and Position | Nancy Lynne Borman (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5035484008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Borman, D.O., PC 1585 Sw Marlow Ave Site 200 Portland OR 97225-5176 Ph: (503) 548-4008 | Nancy Borman, D.O., PC 1585 Sw Marlow Ave Site 200 Portland OR 97225-5176 Ph: (503) 548-4008 |
| NPI Number | 1750746004 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 12/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750746004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | DO19719 (Oregon) | Primary |
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