Creekside Family Practice, LLC
NPI #1508055781 in Happy Valley, Oregon
Provider Information
- NPI Number
- 1508055781
- Entity Type
- Organization
- Organization Name
- Creekside Family Practice, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 23, 2007
- Last Updated
- Oct 23, 2007
Practice Location
- Address
- 9200 SE 91ST AVE
- Address 2
- SUITE #220
- City
- Happy Valley
- State
- Oregon
- ZIP Code
- 97086-3756
- Phone
- (503) 239-7030
Authorized Official
- Name
- PAULA MARIE CRONE, D.O.
- Title
- PRESIDENT
- Phone
- (503) 239-7030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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