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Contact Information

OREGON CITY MEDICAL NW INC.
728 MOLALLA AVE STE A&B
OREGON CITY, OR97045-2799
 Phone: 503-656-9030
 Fax: 503-656-9026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Ambulatory Family Planning Facility

261QA0005X
Indicates primary specialty

NPI Profile & details for OREGON CITY MEDICAL NW INC.

NPI Number 1922209832
LBN Legal business name OREGON CITY MEDICAL NW INC.
Authorized official DANIELLE BLACKWELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/29/2007
Last updated 10/31/2014 - About 12 years ago
Identifiers
OR Medicaid 218463
OR Other 838553000 BLUE CROSS GROUP ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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