Organization · Type 2 NPI

Garden Pure

Clinic/Center · Beaverton, OR

NPI number 1174801005 Active

Practice location

4085 SW 109th Ave Ste 200
Beaverton, OR 97005-3000

Call (503) 643-1024 Map

Fax (503) 644-1293

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X0767 (OR)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1174801005

Garden Pure's National Provider Identifier is 1174801005, issued on Jul 26, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Beaverton, OR. The record was last updated on Jul 26, 2011.