NPI 1003024423
Roberts Street Clinic, P.C.
Practice location
- Address
- 400 NE Roberts Ave, Gresham, OR 97030-7464
- Phone
- (503) 669-3066
- Fax
- (503) 665-6404
Authorised official
- Name
- Linda Mankey
- Title
- Clinic Manager
- Phone
- (503) 669-3066
Registered specialties (4)
Family Medicine Physician
Primary
Family Medicine Physician
Family Medicine Physician
Internal Medicine Physician
Registry record
- NPI
- 1003024423
- Entity type
- Organization
- NPI issued
- 18 May 2007
- Record last updated
- 10 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.