WILLAMETTE VALLEY IMMUNOLOGY CENTER PC
Osteopathic Medicine at 102 Ave, Portland, OR

License number
Oregon MD10197
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. THOMAS JEFFERSON SADDORIS II M.D.
Title: PHYSICIAN OWNER
Phone: (503) 262-7273
Address
Address
169 NE 102Nd Ave, Portland, OR 97220
National Provider ID: 1952622508
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WILLAMETTE VALLEY IMMUNOLOGY CENTER PC

Portland, OR

Industry:
Medical Doctor's Office
Doing business as:
Willamette Valley Immunology Center P. C
Registration:
Jul 6, 2010
Phone:
(503) 262-7273 (Phone)
Addresses:
129 NE 102 Ave STE A, Portland, OR 97220 (Mailing)
169 NE 102 Ave, Portland, OR 97220
State ID:
69927896
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Medical Assistants:
Thomas Saddoris (Owner, Medical Doctor),Rae Saddoris (Office Manager),Summer Richard Medical Assistant, inactive
Agent:
Thomas Jsaddoris,129 NE 102 Ave STE A, Portland, OR 97220 (Physical)

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