Whalio Doctors

NPI 1003024423

Roberts Street Clinic, P.C.

Organisation Family Medicine Physician Gresham, OR

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
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO18839 (OR)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO15150 (OR)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO21884 (OR)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD17149 (OR)

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.