| Nara Nw-yrtc | |
|
19909 Se Stark St Portland OR 97233-6041 | |
| (971) 274-3757 | |
| Not Available |
| Full Name | Nara Nw-yrtc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19909 Se Stark St, Portland, Oregon |
| Authorized Official Name and Position | Ray Dunn (PAYROLL & WORKFORCE COMP. DIRECTOR) |
| Authorized Official Contact | 9712889121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nara Nw-yrtc Po Box 1569 Attention Credentialing Portland OR 97207-1569 Ph: (503) 224-1044 | Nara Nw-yrtc 19909 Se Stark St Portland OR 97233-6041 Ph: (971) 274-3757 |
| NPI Number | 1942747761 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 09/23/2026 |
| Certification Date | 09/23/2026 |
| Medicare PECOS PAC ID | 2668361585 |
|---|---|
| Medicare Enrollment ID | O20181017000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942747761 | NPI | - | NPPES |
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