GENERATIONS FAMILY MEDICINE, PROFESSIONAL CORPORATION
Ambulatory Health at Wasco St, Portland, OR

License number
Oregon MD28383
Category
Ambulatory Health
Type
Primary Care
Owner
Name: THANHLONG DUC PHAM MD
Title: PHYSICIAN
Phone: (503) 703-1500
Address
Address
8106 NE Wasco St, Portland, OR 97213
National Provider ID: 1770926941
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GENERATIONS FAMILY MEDICINE, PC

Portland, OR

Industry:
Health/Allied Services
Registration:
Jan 23, 2013
Phone:
(503) 255-8258 (Phone)
Addresses:
3724 NE 134 Ave, Portland, OR 97230 (Mailing)
8106 NE Wasco St, Portland, OR 97213 (Physical)
State ID:
90965295
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Thanhlong Pa,8106 NE Wasco St, Portland, OR 97213 (Physical)

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