Professional Health Care LLC
Clinic/Center, Health Services in Portland, OR. Organization (NPI-2).
NPI number1760628838
StatusActive
Last updated in NPPESDec 19, 2008
Details
- NPI
- 1760628838
- Entity type
- Organization (NPI-2)
- Legal business name
- Professional Health Care LLC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2008
- Last updated
- Dec 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | 081047114N3 | OR | Yes |
Other names
- Get A Flu Shot.Com (Doing Business As)
Practice location
135 Se 102nd AvePortland, OR 97216-2703
Phone 503-258-9800 · Fax 503-258-8311
Mailing address
135 Se 102nd AvePortland, OR 97216-2703
Phone 503-258-9800 · Fax 503-258-8311
Authorized official
Stephen Allred
Nurse Practitioner
5032589800
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