Sports Orthopaedic and Regenerative Medicine Clinic of Oregon, LLC

NPI #1518728500 in Tualatin, Oregon

Provider Information

NPI Number: 1518728500
Entity Type: Organization
Organization Name: Sports Orthopaedic and Regenerative Medicine Clinic of Oregon, LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jan 17, 2024
Last Updated: Jan 17, 2024

Practice Location

Address: 6485 SW BORLAND RD STE A
City: Tualatin
State: Oregon
ZIP Code: 97062-9762
Phone: (503) 427-9066

Authorized Official

Name: GRACE P WILLIAMS
Title: BUSINESS MANAGER
Phone: (503) 427-9066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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