Create Heath Nw | |
1975 Nw 167th Pl # 100-42 Beaverton OR 97006-4908 | |
(971) 344-7365 | |
Not Available |
Full Name | Create Heath Nw |
---|---|
Speciality | Clinic/center |
Location | 1975 Nw 167th Pl # 100-42, Beaverton, Oregon |
Authorized Official Name and Position | Benjamin Robert Burton (DOCTOR) |
Authorized Official Contact | 9713447365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Create Heath Nw 1975 Nw 167th Pl # 100-42 Beaverton OR 97006-4908 Ph: (971) 344-7365 | Create Heath Nw 1975 Nw 167th Pl # 100-42 Beaverton OR 97006-4908 Ph: (971) 344-7365 |
NPI Number | 1336817972 |
---|---|
Provider Enumeration Date | 08/30/2021 |
Last Update Date | 08/30/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336817972 | NPI | - | NPPES |
DO171244 | Other | OR | OREGON MEDICAL BOARD |
OP60798348 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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