| Vpa Pc | |
|
13221 Sw 68th Pkwy Ste 200 Tigard OR 97223-8328 | |
| (810) 230-9500 | |
| (810) 230-0169 |
| Full Name | Vpa Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 13221 Sw 68th Pkwy Ste 200, Tigard, Oregon |
| Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
| Authorized Official Contact | 2488246600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vpa Pc Po Box 40412 Belfast ME 04915-1255 Ph: (810) 230-9500 | Vpa Pc 13221 Sw 68th Pkwy Ste 200 Tigard OR 97223-8328 Ph: (810) 230-9500 |
| NPI Number | 1770107302 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 09/30/2025 |
| Medicare PECOS PAC ID | 9234041948 |
|---|---|
| Medicare Enrollment ID | O20200813003544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770107302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lynn Beatty Athens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164522785 PECOS PAC ID: 6901805795 Enrollment ID: I20200819003736 |
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