institution
Boulder Care Provider Group Pa
Addiction Medicine (Family Medicine) Physician in Portland, Oregon
NPI 1649838590

Boulder Care Provider Group Pa is an Addiction Medicine (Family Medicine) Physician based in Portland, OR and is specialized in Addiction Medicine. Boulder Care Provider Group Pa practices in Portland, OR. The NPI Number for Boulder Care Provider Group Pa is 1649838590 and holds a License No. (Oregon).

The current practice location address for Boulder Care Provider Group Pa is 111 Sw Naito Pkwy Ste 200, Portland, OR and can be reached out via phone at 888-316-0451.

Location: 111 Sw Naito Pkwy Ste 200, Portland, OR, 97204-3512
institution
Provider Profile Details
NPI Number
1649838590
Provider Name
Boulder Care Provider Group Pa
Credential
Provider Entity Type
Organization
Address
111 Sw Naito Pkwy Ste 200, Portland, OR, 97204-3512
Phone Number
888-316-0451
Fax Number
Provider Enumeration Date
06/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Sw Naito Pkwy Ste 200
City
State
Zip
97204-3512
Phone Number
888-316-0451
Fax Number
person
Provider Business Mailing Address Details
Address
111 Sw Naito Pkwy Ste 200
City
State
Zip
97204-3512
Phone Number
888-316-0451
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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