Providence Medical Group Scholls Immediate Care | |
12442 Sw Scholls Ferry Rd Suite 100 Tigard OR 97223-0803 | |
(503) 216-9900 | |
(503) 216-9266 |
Full Name | Providence Medical Group Scholls Immediate Care |
---|---|
Speciality | Clinic/center |
Location | 12442 Sw Scholls Ferry Rd, Tigard, Oregon |
Authorized Official Name and Position | Keenan B Freeman (CFO) |
Authorized Official Contact | 5038936524 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Providence Medical Group Scholls Immediate Care Po Box 3158 Portland OR 97208-3158 Ph: (503) 215-6494 | Providence Medical Group Scholls Immediate Care 12442 Sw Scholls Ferry Rd Suite 100 Tigard OR 97223-0803 Ph: (503) 216-9900 |
NPI Number | 1396836276 |
---|---|
Provider Enumeration Date | 09/27/2006 |
Last Update Date | 09/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396836276 | NPI | - | NPPES |
063680 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
News Archive
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