Physician on Duty
Physician on Duty is a General Practice Physician in Beaverton, Oregon. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
14805 SW Blanton StBeaverton, OR 97007 Not confirmed with CMS for 17 years — call before visiting
Phone: (503) 957-9632
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1275787780 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sandra Jolly — Billing Manager · (503) 726-4685 |
| NPI enumerated | November 11, 2008 |
| Last updated in NPPES | November 11, 2008 |
| Mailing address | 14805 Sw Blanton St., Beaverton, OR 97007 |
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