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

FANNO CREEK CLINIC LLC

Active Organization

Internal Medicine · PORTLAND, OR

Registration Details

NPI Number
1609876705
Provider Type
Organization
NPI Issued
Jul 29, 2005 (20.732495700071 yrs)
Last Updated
Oct 16, 2007
License
2802 (OR)

Practice Information

Address
2400 SW VERMONT ST
PORTLAND, OR, 972191940
Browse OR providers · Browse ZIP 97219
Phone
5034520915
Fax
5037689232
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine 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.