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

SOUTH TABOR FAMILY PHYSICIANS

Active Organization

Clinic/Center · PORTLAND, OR

Registration Details

NPI Number
1982649299
Provider Type
Organization
NPI Issued
Jun 19, 2006 (19.838488874754 yrs)
Last Updated
Oct 3, 2012
License
262417 (OR)

Practice Information

Address
10803 SE CHERRY BLOSSOM DR
PORTLAND, OR, 972163107
Browse OR providers · Browse ZIP 97216
Phone
5032617200
Fax
5032617249
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.