INHOUSEDOC
Organization (NPI-2)
Active
Clinic/Center, Health Services
Provider Information
- NPI Number
1801296447- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 12720 SW PACIFIC HWY STE 1, TIGARD, OR, 972236125
- Phone
- (503) 974-6170
- Fax
- (503) 208-7198
Specialties & Taxonomies
Clinic/Center, Health Services
Primary License: OR #14698