ESTACADA DIRECT PRIMARY CARE, LLC is a primary care clinic center in Estacada, OR. ESTACADA DIRECT PRIMARY CARE, LLC NPI is 1801663414. The provider is registered as an organization entity type.
The provider's business location address is:
107 NW 5TH AVE
ESTACADA, OR
ZIP 97023-732
Phone: (503) 852-5668
Fax: (971) 399-8728
The provider's authorized official is Richard Lee Orth .
The authorized official title is Owner and has the following contact phone number (503) 852-5668.
The CLIA number assigned to this NPI record is 38D2291363 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/5/2023 and was last updated on 12/5/2023.