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

COFFEE CREEK CORRECTION FACILITY

Active Organization

COFFEE CREEK CORRECTION FACILITY is a Multi-Specialty Clinic organization located in PORTLAND, Oregon. NPI 1619397767 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · PORTLAND, OR

Registration Details

NPI Number
1619397767
Provider Type
Organization
NPI Issued
Apr 16, 2014 (12.356040628876 yrs)
Last Updated
Apr 16, 2014

Practice Information

Address
847 NE 19TH AVE
SUITE 100
PORTLAND, OR, 972322684
Browse OR providers · Browse ZIP 97232
Phone
5032380769
Fax
5039637711
Primary Specialty
Multi-Specialty Clinic
261QM1300X
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.