Portland Clinic
NPI #1508040486 in Tigard, Oregon
Provider Information
- NPI Number
- 1508040486
- Entity Type
- Organization
- Organization Name
- Portland Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PORTLAND CLINIC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Dec 27, 2007
- Last Updated
- Oct 26, 2020
Practice Location
Authorized Official
- Name
- MR. DICK CLARK
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (503) 221-0161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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