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

BLUE HERON CLINIC PC

Active Organization

BLUE HERON CLINIC PC is a Clinic/Center organization located in PORTLAND, Oregon. NPI 1558529560 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · PORTLAND, OR

Registration Details

NPI Number
1558529560
Provider Type
Organization
NPI Issued
May 27, 2008 (18.246628842216 yrs)
Last Updated
May 27, 2008
License
27-2971 (OR)

Practice Information

Address
1934 NE BROADWAY ST
PORTLAND, OR, 972321502
Browse OR providers · Browse ZIP 97232
Phone
5032809759
Fax
5032809798
Primary Specialty
Clinic/Center
261Q00000X
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.