Multnomah County

Specialty details in registry · Troutdale, OR

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At a glance

1698 Sw Cherry Park Rd, Troutdale, OR 97060-1481

NPPES record updated Nov 8, 2019. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1698 Sw Cherry Park Rd
Troutdale, OR 97060-1481
Professional details: NPI, taxonomy & registry record
NPI1619512035
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QF0400X
Enumeration date
Nov 8, 2019
Record updated
Nov 8, 2019
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QF0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1698 Sw Cherry Park Rd
Troutdale, OR 97060-1481
Phone
(503) 988-3340
Fax
(503) 988-4464
Mailing address
619 NW 6TH AVE FL 5

PORTLAND, OR 972093964
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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