institution
Oregon Scottish Rite Clinics
Voluntary or Charitable Agency in Portland, Oregon
NPI 1710023247

Oregon Scottish Rite Clinics is a Voluntary or Charitable Agency based in Portland, OR. Oregon Scottish Rite Clinics practices in Portland, OR. The NPI Number for Oregon Scottish Rite Clinics is 1710023247 and holds a License No. 235Z00000X (Oregon).

The current practice location address for Oregon Scottish Rite Clinics is 5125 Sw Macadam Ave, Portland, OR and can be reached out via phone at 503-226-1048.

Location: 5125 Sw Macadam Ave, Portland, OR, 97218-4211
institution
Provider Profile Details
NPI Number
1710023247
Provider Name
Oregon Scottish Rite Clinics
Credential
Provider Entity Type
Organization
Address
5125 Sw Macadam Ave, Portland, OR, 97218-4211
Phone Number
503-226-1048
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
838353006 01 OR BLUECROSS
247347 05 OR
institution
Provider Business Practice Location Address Details
Address
5125 Sw Macadam Ave
City
State
Zip
97239-3809
Phone Number
503-226-1048
Fax Number
person
Provider Business Mailing Address Details
Address
5125 Sw Macadam Ave
City
State
Zip
97239-3809
Phone Number
503-226-1048
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
235Z00000X (Oregon)
Definition
Definition to come...
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