Provider Demographics
NPI:1528499845
Name:HEALTH FIRST FAMILY MEDICINE, LLC
Entity type:Organization
Organization Name:HEALTH FIRST FAMILY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:I
Authorized Official - Last Name:UBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-372-6123
Mailing Address - Street 1:2975 SW CORNELIUS PASS RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-6601
Mailing Address - Country:US
Mailing Address - Phone:503-372-6123
Mailing Address - Fax:
Practice Address - Street 1:2975 SW CORNELIUS PASS RD
Practice Address - Street 2:SUITE A
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-6601
Practice Address - Country:US
Practice Address - Phone:503-372-6123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD151022261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care