WORKING CLASS MEDICINE LLC


Address: 2133 N. Willis Blvd, Studio D, Portland, OR 97217
Phone: 5036806039

WORKING CLASS MEDICINE LLC (NPI# 1326531666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326531666
Entity Type Organization
Organization Name WORKING CLASS MEDICINE LLC
Other Organization Name WORKING CLASS MEDICINE
Practice Address 2133 N. Willis Blvd, Studio D
Portland
OR 97217
Practice Telephone 5036806039
Practice Fax Number 8332885229
Mailing Telephone 5036806039
Enumeration Date 2018-06-12
Last Update Date 2018-06-12
Authorized Official Name DR. JENNIFER DAVIDSON (OWNER/PROVIDER)
Authorized Official Telephone 5036806039
Authorized Official Credential ND
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
4147 OR Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Working Class Medicine Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names WORKING CLASS MEDICINE LLC 2133 N Willis Blvd, Studio D, Portland, OR 97217

Office Location

Street Address 2133 N. WILLIS BLVD, STUDIO D
City PORTLAND
State OR
Zip Code 97217

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City PORTLAND
Zip Code 97217

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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