| Orenco Station Medical Group | |
|
6355 Ne Cornell Rd Suite 100 Hillsboro OR 97124-5434 | |
| (503) 597-3130 | |
| (503) 597-3140 |
| Full Name | Orenco Station Medical Group |
|---|---|
| Speciality | Clinic/center |
| Location | 6355 Ne Cornell Rd, Hillsboro, Oregon |
| Authorized Official Name and Position | Manuel Berman (PRESIDENT & CEO) |
| Authorized Official Contact | 5036811567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orenco Station Medical Group 372 Se 6th Ave Suite 300 Hillsboro OR 97123-4284 Ph: (503) 681-5680 | Orenco Station Medical Group 6355 Ne Cornell Rd Suite 100 Hillsboro OR 97124-5434 Ph: (503) 597-3130 |
| NPI Number | 1356647168 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356647168 | NPI | - | NPPES |
| 287400 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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