First Avenue Clinic

NPI #1710173190 in Canby, Oregon

Provider Information

NPI Number
1710173190
Entity Type
Organization
Organization Name
First Avenue Clinic
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Sep 19, 2007
Last Updated
Sep 19, 2007

Practice Location

Address
322 NW 1ST AVE
City
Canby
State
Oregon
ZIP Code
97013-3533
Phone
(503) 266-2000

Authorized Official

Name
DR. DIANN LYNN FREASE, N.D.
Title
NATUROPATHIC PHYSICIAN
Phone
(503) 266-2000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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