Health Practitioner Clinic Llc

LBN: Health Practitioner Clinic Llc
Health Practitioner Clinic Llc is an health care organization with primary practice located at 143 Nw 4Th Ave , Canby OR 97013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Health Practitioner Clinic Llc can be contacted via phone (503) 263-6611, or through Seagren, Bette Gay via phone (503) 263-6611.

Contact Information

Primary practice address
143 Nw 4Th Ave Canby OR 97013
Phone: (503) 263-6611
Fax: (503) 266-5674
Website:
Map and Directions
Authorized official contact:
Name: Seagren, Bette Gay Certified Family Nurse Practitioner (CFNP)
Phone: (503) 263-6611

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 000037573N1 Oregon

Profile Details

NPI number 1023183167
LBN Legal business name Health Practitioner Clinic Llc
DBA Doing business as
Authorized official Seagren, Bette Gay Certified Family Nurse Practitioner (CFNP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Nov 1st, 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 1023183167 NPPES
Oregon MEDICAID 282467

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