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AT HOME PRIMARY CARE LLC.

Organization (NPI-2) Active

Nurse Practitioner

Provider Information

NPI Number
1427447143
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
6400 SE LAKE RD # 420, PORTLAND, OR, 972222129
Phone
(503) 344-6717

Specialties & Taxonomies

Nurse Practitioner Primary

All Addresses

MAILING

6400 SE LAKE RD # 420

PORTLAND, OR, 972222129

(503) 344-6717

LOCATION

6400 SE LAKE RD # 420

PORTLAND, OR, 972222129

(503) 344-6717