institution
Morgan Costley Lac Lmt Llc
Multi-Specialty Clinic/Center in Beaverton, Oregon
NPI 1609579879

Morgan Costley Lac Lmt Llc is a Multi-Specialty Clinic/Center based in Portland, OR and is specialized in Multi-Specialty. Morgan Costley Lac Lmt Llc practices in Beaverton, OR. The NPI Number for Morgan Costley Lac Lmt Llc is 1609579879 and holds a License No. (Oregon).

The current practice location address for Morgan Costley Lac Lmt Llc is 1975 Nw 167Th Pl Ste 100, Beaverton, OR and can be reached out via phone at 503-560-0843. You can also correspond with Morgan Costley Lac Lmt Llc through the mailing address at 2503 NE 59TH AVE, PORTLAND, OR - 97213-4011 (mailing address contact number: 503-560-0843).

Location: 1975 Nw 167Th Pl Ste 100, Beaverton, OR, 97213-4011
institution
Provider Profile Details
NPI Number
1609579879
Provider Name
Morgan Costley Lac Lmt Llc
Credential
Provider Entity Type
Organization
Address
1975 Nw 167Th Pl Ste 100, Beaverton, OR, 97213-4011
Phone Number
503-560-0843
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1975 Nw 167Th Pl Ste 100
City
State
Zip
97006-4908
Phone Number
503-560-0843
Fax Number
person
Provider Business Mailing Address Details
Address
2503 Ne 59Th Ave
City
State
Zip
97213-4011
Phone Number
503-560-0843
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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