Provider Demographics
NPI:1710550413
Name:CURATIVE MEDICAL ASSOCIATES OR PC
Entity Type:Organization
Organization Name:CURATIVE MEDICAL ASSOCIATES OR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON-CIRANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-702-9042
Mailing Address - Street 1:605 E HUNTINGTON DR STE 207
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-6353
Mailing Address - Country:US
Mailing Address - Phone:888-702-9042
Mailing Address - Fax:833-520-5353
Practice Address - Street 1:333 S STATE ST STE V-263
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034-3932
Practice Address - Country:US
Practice Address - Phone:888-702-9042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty