NPI | 1720017809 |
---|---|
Doing Business As | BEAVERCREEK HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | ED JOHNSON CFO 503-742-5325 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2019-09-24 |