Division Street Family Practice Clinic PC

NPI #1659316131 in Oregon City, Oregon

Provider Information

NPI Number
1659316131
Entity Type
Organization
Organization Name
Division Street Family Practice Clinic PC
Primary Specialty
Family Medicine
Enumeration Date
Jun 18, 2006
Last Updated
May 6, 2008

Practice Location

Address
1508 DIVISION ST
Address 2
25
State
Oregon
ZIP Code
97045-1582
Phone
(503) 656-1481

Authorized Official

Name
DR. WILLIAM T RASOR, MD
Title
OWNER
Phone
(503) 656-1481

Specialties & Taxonomy Codes

Specialty
Family Medicine

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