Creekside Family Practice, LLC
Organization Active NPI Family Medicine Physician · Happy Valley, OR
NPI 1508055781 · NPPES record last updated Oct 23, 2007
Key facts
- NPI
- 1508055781
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CREEKSIDE FAMILY PRACTICE, LLC
- Practice address
- 9200 SE 91St Ave
Suite #220
Happy Valley, OR 97086-3756 - Phone
- (503) 239-7030
- Fax
- (503) 239-7220
- NPI assigned
- Oct 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Paula Marie Crone, D.O.
- Title
- President
- Phone
- (503) 239-7030
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
9200 SE 91St Ave
Suite #220
Happy Valley, OR 97086-3756
Mailing address
9200 SE 91St Ave
Suite #220
Happy Valley, OR 97086-3756
Phone (503) 239-7030
Other providers in Happy Valley, OR
- Savannah Corr
- County of Clackamas Office of County Auditor
- Courtney L. Sappington Speech Language Pathologist and Holistic Health
- Jennifer Covington
- Maya Crabtree
- Heidi Crone
- Paula Crone
- Jesse Tyler Crosland
- Peter Anthony Curcio
- Daniel & Max, LLC
All providers in Happy Valley, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.