AT HOME PRIMARY CARE LLC.

PORTLAND, OR
NPI1427447143
Entity TypeOrganization
Authorized ContactSUZIE ANNETTE DAVIS
Manager
503-344-6717
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2015-01-19
Last Update Date2015-02-12
Business Address
AT HOME PRIMARY CARE LLC.
6400 SE LAKE RD # 420
PORTLAND, OR 97222-2129
Phone number: 503-344-6717
Mailing Address
AT HOME PRIMARY CARE LLC.
6400 SE LAKE RD # 420
PORTLAND, OR 97222-2129
Phone number: 503-344-6717