MAPLE STREET CLINIC, PC

FOREST GROVE, OR
NPI1225066194
Entity TypeOrganization
Authorized ContactJOHN DAHLQUIST
Clinic Administrator
503-357-2136
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-06-29
Last Update Date2013-01-10
Business Address
MAPLE STREET CLINIC, PC
1825 MAPLE ST
FOREST GROVE, OR 97116-1939
Phone number: 503-357-2136
Mailing Address
MAPLE STREET CLINIC, PC
1825 MAPLE ST
FOREST GROVE, OR 97116-1939
Phone number: 503-357-2136
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