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

FERTILE GROUND FAMILY CENTER, LLC

Active Organization

FERTILE GROUND FAMILY CENTER, LLC is a Primary Care Clinic organization located in PORTLAND, Oregon. NPI 1558607812 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · PORTLAND, OR

Registration Details

NPI Number
1558607812
Provider Type
Organization
NPI Issued
Dec 13, 2012 (13.682946794121 yrs)
Last Updated
Dec 13, 2012
Licenses
DEM-LD-10144749 (OR)
2921 (OR)

Practice Information

Address
3575 NE BROADWAY ST
PORTLAND, OR, 972321820
Browse OR providers · Browse ZIP 97232
Phone
5032846195
Primary Specialty
Primary Care Clinic
261QP2300X
Additional Specialty
Primary Care Clinic

Other Primary Care Clinic Organizations in PORTLAND, 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.