Oregon City Medical

NPI #1457604654 in Beaverton, Oregon

Provider Information

NPI Number: 1457604654
Entity Type: Organization
Organization Name: Oregon City Medical
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Oct 25, 2012
Last Updated: Oct 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: MANAGER
Phone: (503) 213-3800

Specialties & Taxonomy Codes

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

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