Division Street Family Practice Clinic Pc

LBN: Division Street Family Practice Clinic Pc
Division Street Family Practice Clinic Pc is an health care organization with primary practice located at 1508 Division St 25, Oregon City OR 97045-1582. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Division Street Family Practice Clinic Pc can be contacted via phone (503) 656-1481, or through Rasor, William T via phone (503) 656-1481.

Contact Information

Primary practice address
1508 Division St 25 Oregon City OR 97045-1582
Phone: (503) 656-1481
Fax: (503) 655-2399
Website:
Map and Directions
Authorized official contact:
Name: Rasor, William T Doctor of Medicine (MD)
Phone: (503) 656-1481

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1659316131
LBN Legal business name Division Street Family Practice Clinic Pc
DBA Doing business as
Authorized official Rasor, William T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated May 6th, 2008 - about 16 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 1659316131 NPPES
Oregon MEDICAID 213604

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