| Nhc Beaverton Medical Clinic | |
|
17200 Nw Corridor Ct Ste 110 Beaverton OR 97006-3295 | |
| (503) 941-3033 | |
| Not Available |
| Full Name | Nhc Beaverton Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 17200 Nw Corridor Ct Ste 110, Beaverton, Oregon |
| Authorized Official Name and Position | Blain A. West (CFO) |
| Authorized Official Contact | 5039413033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nhc Beaverton Medical Clinic 7320 Sw Hunziker Rd Ste 300 Portland OR 97223-2302 Ph: (503) 941-3033 | Nhc Beaverton Medical Clinic 17200 Nw Corridor Ct Ste 110 Beaverton OR 97006-3295 Ph: (503) 941-3033 |
| NPI Number | 1548810955 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 03/19/2020 |
| Medicare PECOS PAC ID | 8426227893 |
|---|---|
| Medicare Enrollment ID | O20200506002376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548810955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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