| NPI | 1518106020 |
|---|---|
| Doing Business As | PORTLAND FAMILY CARE AND WALK-IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | EMILY TIDWELL Member 615-323-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 10971) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 1755) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 13982) | |
| Enumeration Date | 2009-02-08 |
| Last Update Date | 2009-08-05 |