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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERTS STREET CLINIC, P.C.

Active Organization

ROBERTS STREET CLINIC, P.C. is a Family Medicine organization located in GRESHAM, Oregon. NPI 1003024423 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GRESHAM, OR

Registration Details

NPI Number
1003024423
Provider Type
Organization
NPI Issued
May 18, 2007 (19.24545517831 yrs)
Last Updated
Oct 10, 2007
Licenses
DO15150 (OR)
DO21884 (OR)
MD17149 (OR)
DO18839 (OR)

Practice Information

Address
400 NE ROBERTS AVE
GRESHAM, OR, 970307464
Browse OR providers · Browse ZIP 97030
Phone
5036693066
Fax
5036656404
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Family Medicine

Other Family Medicine Organizations in GRESHAM, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.