Physician On Duty

NPI #1275787780 in Beaverton, Oregon

Provider Information

NPI Number
1275787780
Entity Type
Organization
Organization Name
Physician On Duty
Primary Specialty
General Practice
Enumeration Date
Nov 11, 2008
Last Updated
Nov 11, 2008

Practice Location

Address
14805 SW BLANTON ST.
State
Oregon
ZIP Code
97007
Phone
(503) 957-9632

Authorized Official

Name
SANDRA L JOLLY
Title
BILLING MANAGER
Phone
(503) 726-4685

Specialties & Taxonomy Codes

Specialty
General Practice

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