Jennifer Means Nd Lac Pc | |
4970 Sw Main Ave # 100 Beaverton OR 97005-2740 | |
(503) 641-6400 | |
(503) 641-6401 |
Full Name | Jennifer Means Nd Lac Pc |
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Speciality | Clinic/center |
Location | 4970 Sw Main Ave # 100, Beaverton, Oregon |
Authorized Official Name and Position | Jennifer Means (OWNER, PRESIDENT, PHYSICIAN) |
Authorized Official Contact | 5036416400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jennifer Means Nd Lac Pc 4970 Sw Main Ave # 100 Beaverton OR 97005-2740 Ph: (503) 641-6400 | Jennifer Means Nd Lac Pc 4970 Sw Main Ave # 100 Beaverton OR 97005-2740 Ph: (503) 641-6400 |
NPI Number | 1184000911 |
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Provider Enumeration Date | 08/04/2015 |
Last Update Date | 08/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184000911 | NPI | - | NPPES |
226292 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 857 (Oregon) | Primary |
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