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Ponderosa Health, Llc
Medical Specialty Clinic/Center in Tigard, Oregon
NPI 1649818972

Ponderosa Health, Llc is a Medical Specialty Clinic/Center based in Tigard, OR and is specialized in Medical Specialty. Ponderosa Health, Llc practices in Tigard, OR. The NPI Number for Ponderosa Health, Llc is 1649818972 and holds a License No. (Oregon).

The current practice location address for Ponderosa Health, Llc is 6956 Sw Hampton St, Tigard, OR and can be reached out via phone at 503-486-4081 and via fax at 503-868-4674.

Location: 6956 Sw Hampton St, Tigard, OR, 97223-8351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649818972
Provider Name
Ponderosa Health, Llc
Credential
Provider Entity Type
Organization
Address
6956 Sw Hampton St, Tigard, OR, 97223-8351
Phone Number
503-486-4081
Fax Number
503-868-4674
Provider Enumeration Date
12/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6956 Sw Hampton St
City
Tigard
State
Oregon
Zip
97223-8351
Phone Number
503-486-4081
Fax Number
503-868-4674
person
Provider Business Mailing Address Details
Address
6956 Sw Hampton St
City
Tigard
State
Oregon
Zip
97223-8351
Phone Number
503-486-4081
Fax Number
503-868-4674
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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