Inhousedoc

NPI #1801296447 in Tigard, Oregon

Provider Information

NPI Number
1801296447
Entity Type
Organization
Organization Name
Inhousedoc
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Sep 2, 2014
Last Updated
Sep 2, 2014

Practice Location

Address
12720 SW PACIFIC HWY STE 1
City
Tigard
State
Oregon
ZIP Code
97223-6125
Phone
(503) 974-6170

Authorized Official

Name
ROBERT JOHN TILLEY, M.D.
Title
OWNER
Phone
(503) 974-6170

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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