Adventist Health Portland - Cherry Park | |
10201 Se Main St Ste 10 Portland OR 97216-2937 | |
(503) 255-2186 | |
(503) 255-2194 |
Full Name | Adventist Health Portland - Cherry Park |
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Speciality | Family Medicine |
Location | 10201 Se Main St Ste 10, Portland, 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 - Cherry Park Po Box 888918 Los Angeles CA 90088-8918 Ph: (503) 261-6085 | Adventist Health Portland - Cherry Park 10201 Se Main St Ste 10 Portland OR 97216-2937 Ph: (503) 255-2186 |
NPI Number | 1346715950 |
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Provider Enumeration Date | 10/10/2018 |
Last Update Date | 01/06/2022 |
Identifier | Type | State | Issuer |
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1346715950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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