NPI | 1417098773 |
---|---|
Doing Business As | ORCHID HEALTH SANDY CLINIC |
Entity Type | Organization |
Authorized Contact | ARIANA LEE Credentialing COO Rdinator 971-373-4165 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
261QR1300X Clinic/Center Rural Health | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2024-06-11 |