WILDWOOD FAMILY MEDICINE, LLC

PORTLAND, OR
NPI1952718579
Entity TypeOrganization
Authorized ContactLISA BRYANT
Owner
360-903-4866
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: OR  1974)
Enumeration Date2014-07-15
Last Update Date2014-07-15
Business Address
WILDWOOD FAMILY MEDICINE, LLC
7319 N JOHN AVE #101
PORTLAND, OR 97203-4885
Phone number: 503-289-3370
Mailing Address
WILDWOOD FAMILY MEDICINE, LLC
315 W 24TH ST
VANCOUVER, WA 98660-2528
Phone number: 360-903-4866
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