Fanno Creek Clinic LLC
Fanno Creek Clinic LLC is an Internal Medicine Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2005.
- Licensed in
- OR
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2400 SW Vermont StPortland, OR 97219-1940
Phone: (503) 452-0915
Fax: (503) 768-9232
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 2802 (OR) |
|---|
Record details
| NPI number | 1609876705 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Reed — Clinic Manager · (503) 452-0915 |
| NPI enumerated | July 29, 2005 |
| Last updated in NPPES | October 16, 2007 |
| Mailing address | 2400 Sw Vermont St, Portland, OR 97219-1940 |
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