| Propel Network, Llc | |
|
14525 Sw Millikan Way Beaverton OR 97005-2343 | |
| (443) 342-6879 | |
| Not Available |
| Full Name | Propel Network, Llc |
|---|---|
| Speciality | General Practice |
| Location | 14525 Sw Millikan Way, Beaverton, Oregon |
| Authorized Official Name and Position | Hans Gangeskar (CEO) |
| Authorized Official Contact | 8003216879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Propel Network, Llc 6838 Ellicott Dr Suite A East Syracuse NY 13057-1039 Ph: (888) 407-8015 | Propel Network, Llc 14525 Sw Millikan Way Beaverton OR 97005-2343 Ph: (443) 342-6879 |
| NPI Number | 1659730760 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659730760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 126560 (California) | Primary |
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