Gresham-Troutdale Family Medical Center

Organization Non-Pharmacy Dispensing Site · NPI 1750581062

Gresham-Troutdale Family Medical Center is a Non-Pharmacy Dispensing Site in Troutdale, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in: OR
In the registry since: 2007

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Practice location Address checks out

1700 SW 27th Ave
Troutdale, OR 97060
Phone: (503) 669-6800

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary)	Taxonomy 332900000X · Licence MD10780 (OR)

Record details

NPI number	1750581062
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Medvantx, Inc
Authorized official	Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumerated	July 24, 2007
Last updated in NPPES	October 22, 2012
Mailing address	5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705