Dahra Perkins MD PC
Family Medicine in Portland, OR. Organization (NPI-2).
NPI number1124429329
StatusActive
Last updated in NPPESApr 12, 2024
Details
- NPI
- 1124429329
- Entity type
- Organization (NPI-2)
- Legal business name
- Dahra Perkins MD PC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2014
- Certification date
- Apr 12, 2024
- Last updated
- Apr 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 103TF0000X | Psychologist, Family | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- Elevate Health (Doing Business As)
Practice location
2230 Nw Pettygrove St Ste 110Portland, OR 97210-2659
Phone 503-227-0350 · Fax 503-227-0745
Mailing address
2230 Nw Pettygrove St Ste 110Portland, OR 97210-2659
Phone 503-227-0350 · Fax 503-227-0745
Authorized official
Dahra Diane Perkins
Owner
5032270350
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