Oregon Scottish Rite Clinics

NPI #1710023247 in Portland, Oregon

Provider Information

NPI Number
1710023247
Entity Type
Organization
Organization Name
Oregon Scottish Rite Clinics
Primary Specialty
Voluntary or Charitable
Enumeration Date
Jan 30, 2007
Last Updated
Mar 24, 2009

Practice Location

Address
5125 SW MACADAM AVE
Address 2
SUITE 200
State
Oregon
ZIP Code
97239-3809
Phone
(503) 226-1048

Authorized Official

Name
PHILL LEVINSON, PHD SLP
Title
EXECUTIVE DIRECTOR
Phone
(503) 226-1048

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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