PHYSICIAN ON DUTY

BEAVERTON, OR
NPI1275787780
Entity TypeOrganization
Authorized ContactSANDRA L JOLLY
Billing Manager
503-726-4685
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2008-11-11
Last Update Date2008-11-11
Business Address
PHYSICIAN ON DUTY
14805 SW BLANTON ST.
BEAVERTON, OR 97007
Phone number: 503-957-9632
Mailing Address
PHYSICIAN ON DUTY
14805 SW BLANTON ST.
BEAVERTON, OR 97007
Phone number: 503-957-9632
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