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Contract Details
Occupational Health Centers of the Southwest, P.A.
Facility name
Concentra Medical Center
Provider ID
P000002911
NPI
1487772323
Tax ID
752014828
Effective Date
2/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_135
AM_135
Location Details
Address
3449 North Anchor Street Suite 300-A
Portland, OR 97217
United States
County
Multnomah
Phone
5032830013
(
Phone
)
Billing Details
Address
PO Box 3700
Rancho Cucamonga, CA 91729
Billing Phone
8883526794
Specialty Type
Occupational Medicine Facility
Map
Address