Phoebe Rich, MD LLC
Specialist in Portland, OR. Organization (NPI-2).
NPI number1124199484
StatusActive
Last updated in NPPESMar 11, 2008
Details
- NPI
- 1124199484
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoebe Rich, MD LLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2006
- Last updated
- Mar 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MD14488 | OR | Yes |
Other names
- Oregon Dermatology And Research Center (Doing Business As)
Practice location
2565 Nw Lovejoy St Ste 200Portland, OR 97210-2996
Phone 503-226-3376 · Fax 503-223-9561
Mailing address
2565 Nw Lovejoy St Ste 200Portland, OR 97210-2996
Phone 503-226-3376 · Fax 503-223-9561
Authorized official
Phoebe Rich
Owner
5032263376
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