Adventist Health Portland - Gresham Station #1 | |
831 Nw Council Dr Ste 101 Gresham OR 97030-3722 | |
(503) 665-8176 | |
(503) 665-8178 |
Full Name | Adventist Health Portland - Gresham Station #1 |
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Speciality | Family Medicine |
Location | 831 Nw Council Dr Ste 101, Gresham, Oregon |
Authorized Official Name and Position | Donald E Welch (CFO) |
Authorized Official Contact | 5032614405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Adventist Health Portland - Gresham Station #1 Po Box 888918 Los Angeles CA 90088-8918 Ph: (503) 261-6085 | Adventist Health Portland - Gresham Station #1 831 Nw Council Dr Ste 101 Gresham OR 97030-3722 Ph: (503) 665-8176 |
NPI Number | 1144795022 |
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Provider Enumeration Date | 10/08/2018 |
Last Update Date | 01/06/2022 |
Identifier | Type | State | Issuer |
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1144795022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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