Oregon Injection Clinic
Clinic/Center, Health Services in Portland, OR. Organization (NPI-2).
NPI number1407492002
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1407492002
- Entity type
- Organization (NPI-2)
- Legal business name
- Oregon Injection Clinic
- Organization subpart
- No
- Enumeration date
- Nov 19, 2019
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
1500 Nw Lovejoy106
Portland, OR 97209
Phone 503-305-4755
Mailing address
610 Sw Alder St Ste 210Portland, OR 97205-3603
Phone 503-305-4755 · Fax 503-305-4755
Authorized official
Vanessa Esteves
Owner
5033054755
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