Organization · Type 2 NPI

South Tabor Family Physicians

Clinic/Center · Portland, OR

NPI number 1982649299 Active

Practice location

10803 SE Cherry Blossom Dr
Portland, OR 97216-3107

Fax (503) 261-7249

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X262417 (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).

20 other providers at this address

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About NPI 1982649299

South Tabor Family Physicians's National Provider Identifier is 1982649299, issued on Jun 19, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Portland, OR. The record was last updated on Oct 3, 2012.