Cleary Medical Associates, Llc

LBN: Cleary Medical Associates, Llc
Cleary Medical Associates, Llc is an health care organization with primary practice located at 11786 Sw Barnes Rd Ste 270, Portland OR 97225-5929. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Cleary Medical Associates, Llc can be contacted via phone (503) 520-0777, or through Cleary, Timothy Shannahan via phone (503) 520-0777.

Contact Information

Primary practice address
11786 Sw Barnes Rd Ste 270 Portland OR 97225-5929
Phone: (503) 520-0777
Fax: (503) 520-0559
Website:
Map and Directions
Authorized official contact:
Name: Cleary, Timothy Shannahan Doctor of Medicine (MD)
Phone: (503) 520-0777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13852 Oregon

Profile Details

NPI number 1639175813
LBN Legal business name Cleary Medical Associates, Llc
DBA Doing business as
Authorized official Cleary, Timothy Shannahan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Oct 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639175813 NPPES
Oregon MEDICAID 109009

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