Organization · Type 2 NPI
Professional Health Care LLC
Health Service Clinic/Center · Portland, OR
NPI number
1760628838
Active
Practice location
135 SE 102nd Ave
Portland, OR 97216-2703
Fax (503) 258-8311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 081047114N3 (OR) |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1760628838
Professional Health Care LLC's National Provider Identifier is 1760628838, issued on Dec 19, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Portland, OR. The record was last updated on Dec 19, 2008.