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Contact Information

RIVER MEDICAL CLINIC PC
13021 SE RIVER RD
PORTLAND, OR97222-8062
 Phone: 360-260-8225
 Fax: 360-397-0189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RIVER MEDICAL CLINIC PC

NPI # 1023226271
LBN Legal business name RIVER MEDICAL CLINIC PC
Authorized official JANICE SPENCER - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
OR License # MD15086
OR Medicaid 196295
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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