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Jennifer Means Nd Lac Pc
Clinic/Center in Beaverton, Oregon
NPI 1184000911

Jennifer Means Nd Lac Pc is a Clinic/Center based in Beaverton, OR. Jennifer Means Nd Lac Pc practices in Beaverton, OR. The NPI Number for Jennifer Means Nd Lac Pc is 1184000911 and holds a License No. 857 (Oregon).

The current practice location address for Jennifer Means Nd Lac Pc is 4970 Sw Main Ave # 100, Beaverton, OR and can be reached out via phone at 503-641-6400 and via fax at 503-641-6401. You can also correspond with Jennifer Means Nd Lac Pc through the mailing address at 4970 SW MAIN AVE # 100, BEAVERTON, OR - 97005-2740 (mailing address contact number: 503-641-6400).

Location: 4970 Sw Main Ave # 100, Beaverton, OR, 97005-2740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184000911
Provider Name
Jennifer Means Nd Lac Pc
Credential
Provider Entity Type
Organization
Address
4970 Sw Main Ave # 100, Beaverton, OR, 97005-2740
Phone Number
503-641-6400
Fax Number
503-641-6401
Provider Enumeration Date
08/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
226292 05 OR
institution
Provider Business Practice Location Address Details
Address
4970 Sw Main Ave # 100
City
Beaverton
State
Oregon
Zip
97005-2740
Phone Number
503-641-6400
Fax Number
503-641-6401
person
Provider Business Mailing Address Details
Address
4970 Sw Main Ave # 100
City
Beaverton
State
Oregon
Zip
97005-2740
Phone Number
503-641-6400
Fax Number
503-641-6401
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
857 (Oregon)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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