Compass Medical Clinic LLC
Family Medicine in Dallas, OR. Organization (NPI-2).
NPI number1619707056
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1619707056
- Entity type
- Organization (NPI-2)
- Legal business name
- Compass Medical Clinic LLC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2024
- Certification date
- Aug 1, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
607 Se Jefferson StDallas, OR 97338-2025
Phone 503-623-1200 · Fax 503-623-1414
Mailing address
607 Se Jefferson StDallas, OR 97338-2025
Phone 503-623-1200 · Fax 503-623-1414
Authorized official
Aaron Evers
Owner
5036231200
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