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Estacada Direct Primary Care, Llc
Primary Care Clinic/Center in Estacada, Oregon
NPI 1801663414

Estacada Direct Primary Care, Llc is a Primary Care Clinic/Center based in Estacada, OR and is specialized in Primary Care. Estacada Direct Primary Care, Llc practices in Estacada, OR. The NPI Number for Estacada Direct Primary Care, Llc is 1801663414 and holds a License No. (Oregon).

The current practice location address for Estacada Direct Primary Care, Llc is 107 Nw 5Th Ave, Estacada, OR and can be reached out via phone at 503-852-5668 and via fax at 971-399-8728.

Location: 107 Nw 5Th Ave, Estacada, OR, 97023-7732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801663414
Provider Name
Estacada Direct Primary Care, Llc
Credential
Provider Entity Type
Organization
Address
107 Nw 5Th Ave, Estacada, OR, 97023-7732
Phone Number
503-852-5668
Fax Number
971-399-8728
Provider Enumeration Date
12/05/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
107 Nw 5Th Ave
City
Estacada
State
Oregon
Zip
97023-7732
Phone Number
503-852-5668
Fax Number
971-399-8728
person
Provider Business Mailing Address Details
Address
107 Nw 5Th Ave
City
Estacada
State
Oregon
Zip
97023-7732
Phone Number
503-852-5668
Fax Number
971-399-8728
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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