Roberts Street Clinic, P.c.

NPI #1003024423 in Gresham, Oregon

Provider Information

NPI Number: 1003024423
Entity Type: Organization
Organization Name: Roberts Street Clinic, P.c.
Primary Specialty: Family Medicine
Enumeration Date: May 18, 2007
Last Updated: Oct 10, 2007

Practice Location

Address: 400 NE ROBERTS AVE
City: Gresham
State: Oregon
ZIP Code: 97030-7464
Phone: (503) 669-3066

Authorized Official

Name: LINDA MANKEY
Title: CLINIC MANAGER
Phone: (503) 669-3066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Internal Medicine	207R00000X

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