Premise Health of Oregon Medical, P.c.

NPI #1619286044 in Hillsboro, Oregon

Provider Information

NPI Number
1619286044
Entity Type
Organization
Organization Name
Premise Health of Oregon Medical, P.c.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 4, 2010
Last Updated
Oct 13, 2022

Practice Location

Address
2111 NE 25TH AVENUE
State
Oregon
ZIP Code
97124-5961
Phone
(503) 264-8315

Authorized Official

Name
DR. JONATHAN LEIZMAN, MD
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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