Beaverton Family Medicine

NPI #1255607446 in Beaverton, Oregon

Provider Information

NPI Number: 1255607446
Entity Type: Organization
Organization Name: Beaverton Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Apr 1, 2012
Last Updated: Jun 25, 2012

Practice Location

Address: 17200 NW CORRIDOR CT
Address 2: SUITE 110
City: Beaverton
State: Oregon
ZIP Code: 97006-3295
Phone: (503) 213-3800

Authorized Official

Name: KEITH HAINES
Title: OWNER
Phone: (503) 213-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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