Whalio Doctors

NPI 1073762449

Axis Heathcare

Organisation Preferred Provider Organization Portland, OR

Practice location

Address
10175 SW Barbur Blvd Suite 105ba, Portland, OR 97219-5908
Phone
(503) 245-4100
Fax
(503) 245-4722

Authorised official

Name
Daniel D Beebe
Title
President
Phone
(503) 245-4100

Registered specialties

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X

Registry record

NPI
1073762449
Entity type
Organization
NPI issued
10 Sep 2008
Record last updated
10 Sep 2008

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.