Jimmy Huebert MD INC
Internal Medicine, Sports Medicine in Tualatin, OR. Organization (NPI-2).
NPI number1235307331
StatusActive
Last updated in NPPESJul 15, 2009
Details
- NPI
- 1235307331
- Entity type
- Organization (NPI-2)
- Legal business name
- Jimmy Huebert MD INC
- Organization subpart
- No
- Enumeration date
- Feb 12, 2008
- Last updated
- Jul 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RS0010X | Internal Medicine, Sports Medicine | 23362 | OR | Yes |
Practice location
6464 Sw Borland Rd Ste D2Tualatin, OR 97062-8861
Phone 503-885-8008 · Fax 503-885-8002
Mailing address
6464 Sw Borland Rd Ste D2Tualatin, OR 97062-8861
Phone 503-885-8008 · Fax 503-885-8002
Authorized official
Michelle Huebert
Owner
5038858008
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