NPI 1962192922

Bluestone Clinic LLC

Organisation Public Health & General Preventive Medicine Physician Portland, OR

Practice location

Address: 111 SW 5th Ave, Portland, OR 97204-3604
Phone: (260) 577-2266
Mailing address: 800 NW Powhatan Ter, Portland, OR 97210-2733

Authorised official

Name: Andrew Friede
Title: Manager
Phone: (260) 577-2266

Registered specialties

Public Health & General Preventive Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0901X

Other Preventive Medicine providers in Oregon →

Registry record

NPI: 1962192922
Entity type: Organization
NPI issued: 11 May 2023
Record last updated: 30 Aug 2023

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.