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Premise Health Of Oregon Medical, P.c.
Multi-Specialty Clinic/Center in Fairview, Oregon
NPI 1457026056

Premise Health Of Oregon Medical, P.c. is a Multi-Specialty Clinic/Center based in Brentwood, OR and is specialized in Multi-Specialty. Premise Health Of Oregon Medical, P.c. practices in Fairview, OR. The NPI Number for Premise Health Of Oregon Medical, P.c. is 1457026056 and holds a License No. (Oregon).

The current practice location address for Premise Health Of Oregon Medical, P.c. is 4000 Ne Blue Lake Rd, Fairview, OR and can be reached out via phone at 503-721-6040 and via fax at 256-883-3674.

Location: 4000 Ne Blue Lake Rd, Fairview, OR, 37027-7048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457026056
Provider Name
Premise Health Of Oregon Medical, P.c.
Credential
Provider Entity Type
Organization
Address
4000 Ne Blue Lake Rd, Fairview, OR, 37027-7048
Phone Number
503-721-6040
Fax Number
256-883-3674
Provider Enumeration Date
08/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4000 Ne Blue Lake Rd
City
Fairview
State
Oregon
Zip
97024-8710
Phone Number
503-721-6040
Fax Number
256-883-3674
person
Provider Business Mailing Address Details
Address
4000 Ne Blue Lake Rd
City
Fairview
State
Oregon
Zip
97024-8710
Phone Number
503-721-6040
Fax Number
256-883-3674
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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