Estacada Direct Primary Care, LLC

NPI #1801663414 in Estacada, Oregon

Provider Information

NPI Number: 1801663414
Entity Type: Organization
Organization Name: Estacada Direct Primary Care, LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Dec 5, 2023
Last Updated: Dec 5, 2023

Practice Location

Address: 107 NW 5TH AVE
City: Estacada
State: Oregon
ZIP Code: 97023-7732
Phone: (503) 852-5668

Authorized Official

Name: DR. RICHARD LEE ORTH, DO
Title: OWNER
Phone: (503) 852-5668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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