| Adventist Health Portland - Clackamas | |
|
10151 Se Sunnyside Rd Ste 100 Clackamas OR 97015-5705 | |
| (503) 659-0880 | |
| (503) 513-7425 |
| Full Name | Adventist Health Portland - Clackamas |
|---|---|
| Speciality | Family Medicine |
| Location | 10151 Se Sunnyside Rd Ste 100, Clackamas, Oregon |
| Authorized Official Name and Position | Donald Eugene Welch (CFO) |
| Authorized Official Contact | 5032614406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventist Health Portland - Clackamas Po Box 888918 Los Angeles CA 90088-8918 Ph: (503) 261-6085 | Adventist Health Portland - Clackamas 10151 Se Sunnyside Rd Ste 100 Clackamas OR 97015-5705 Ph: (503) 659-0880 |
| NPI Number | 1023583994 |
|---|---|
| Provider Enumeration Date | 10/08/2018 |
| Last Update Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023583994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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