institution
At Home Primary Care
Primary Care Nurse Practitioner in Oregon City, Oregon
NPI 1336596113

At Home Primary Care is a Primary Care Nurse Practitioner based in Lake Oswego, OR and is specialized in Primary Care. At Home Primary Care practices in Oregon City, OR. The NPI Number for At Home Primary Care is 1336596113 and holds a License No. 200650008NP (Oregon).

The current practice location address for At Home Primary Care is 511 Main St, Oregon City, OR and can be reached out via phone at 503-344-6717 and via fax at 503-345-9867. You can also correspond with At Home Primary Care through the mailing address at PO BOX 945, LAKE OSWEGO, OR - 97034-0103 (mailing address contact number: 503-344-6717).

Location: 511 Main St, Oregon City, OR, 97034-0103
institution
Provider Profile Details
NPI Number
1336596113
Provider Name
At Home Primary Care
Credential
Provider Entity Type
Organization
Address
511 Main St, Oregon City, OR, 97034-0103
Phone Number
503-344-6717
Fax Number
503-345-9867
Provider Enumeration Date
05/20/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
243056 05 OR
200650008NP 01 OR NP LICENSE
R178969 01 OR MEDICARE ID INDIV
1932154366 01 OR NPI INDIV
500678021 05 OR
1093053431 01 OR NPI GROUP HMS
R178970 01 OR MEDICARE ID GROUP
institution
Provider Business Practice Location Address Details
Address
511 Main St
City
State
Zip
97045-1830
Phone Number
503-344-6717
Fax Number
503-345-9867
person
Provider Business Mailing Address Details
Address
Po Box 945
City
State
Zip
97034-0103
Phone Number
503-344-6717
Fax Number
503-345-9867
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
200650008NP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
200650008NP (Oregon)
Definition
Definition to come...
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