Scholls Pediatric Clinic LLC

NPI #1689727265 in Tigard, Oregon

Provider Information

NPI Number
1689727265
Entity Type
Organization
Organization Name
Scholls Pediatric Clinic LLC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jan 18, 2007
Last Updated
Aug 25, 2007

Practice Location

Address
12442 SW SCHOLLS FERRY RD
Address 2
#205
City
Tigard
State
Oregon
ZIP Code
97223-3396
Phone
(503) 579-3214

Authorized Official

Name
RICHARD DEKLOTZ
Title
OWNER
Phone
(503) 579-3214

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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