Provider Demographics
NPI:1871191106
Name:MAANSI FAMILY HEALTH CENTER
Entity Type:Organization
Organization Name:MAANSI FAMILY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHIVAN
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:OBEROI
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:503-780-5765
Mailing Address - Street 1:8111 SW CORAL BELL CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-4202
Mailing Address - Country:US
Mailing Address - Phone:503-780-5765
Mailing Address - Fax:503-200-1037
Practice Address - Street 1:1730 SW SKYLINE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97221-2547
Practice Address - Country:US
Practice Address - Phone:503-893-8905
Practice Address - Fax:503-200-1037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center