FERTILE GROUND FAMILY CENTER, LLC

Clinic/Center - Primary Care

Active Organization
NPI: 1558607812

Practice Address

3575 NE BROADWAY ST
Portland, OR 97232

Phone: (503) 284-6195

Specialties

Specialty Code Primary License
Clinic/Center - Birthing 261QB0400X No DEM-LD-10144749 (OR)
Clinic/Center - Primary Care 261QP2300X Yes 2921 (OR)

Frequently Asked Questions

NPI 1558607812 is the National Provider Identifier for FERTILE GROUND FAMILY CENTER, LLC, a Clinic/Center - Primary Care provider located in Portland, OR. This NPI was enumerated on December 13, 2012.

Quick Facts

NPI
1558607812
Type
Organization
Enumerated
Dec 13, 2012
Last Updated
Dec 13, 2012

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