| The Sports & Spine Center Pc | |
|
7654 Sw Mohawk St Bldg K Tualatin OR 97062-8119 | |
| (503) 691-2000 | |
| (503) 691-2001 |
| Full Name | The Sports & Spine Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7654 Sw Mohawk St Bldg K, Tualatin, Oregon |
| Authorized Official Name and Position | Jimmy D Huebert (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5036912000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sports & Spine Center Pc 7654 Sw Mohawk St Bldg K Tualatin OR 97062-8119 Ph: (503) 691-2000 | The Sports & Spine Center Pc 7654 Sw Mohawk St Bldg K Tualatin OR 97062-8119 Ph: (503) 691-2000 |
| NPI Number | 1649604075 |
|---|---|
| Provider Enumeration Date | 08/21/2013 |
| Last Update Date | 09/14/2021 |
| Medicare PECOS PAC ID | 2365674975 |
|---|---|
| Medicare Enrollment ID | O20140415002161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649604075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Jimmy D Huebert |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1225050834 PECOS PAC ID: 2466491097 Enrollment ID: I20050504000258 |
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Michael P. Gardner, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19260 Sw 65th Ave Ste 310, Tualatin, OR 97062 Phone: 503-692-1200 Fax: 503-692-1220 | |
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Virginia Garcia Memorial Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11300 Sw Hazelbrook Rd, Tualatin, OR 97062 Phone: 503-431-5100 | |
Legacy Meridian Park Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 | |
Jimmy Huebert Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd Ste D2, Tualatin, OR 97062 Phone: 503-885-8008 Fax: 503-885-8002 | |
Frank S. Rosenbloom, M.d. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd, Suite B2, Tualatin, OR 97062 Phone: 503-692-5250 Fax: 503-612-0573 |