Canby Healthcare Clinic LLC

NPI #1083915508 in Canby, Oregon

Provider Information

NPI Number: 1083915508
Entity Type: Organization
Organization Name: Canby Healthcare Clinic LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Nov 15, 2010
Last Updated: Nov 15, 2010

Practice Location

Address: 703 SE 1ST AVE
City: Canby
State: Oregon
ZIP Code: 97013-3849
Phone: (503) 266-7686

Authorized Official

Name: KAREN ELIZABETH SHAW, ANP
Title: STAFF ADULT NURSE PRACTITIONER
Phone: (503) 266-7686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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