Clover, Geoffery W.P.

Clover, Geoffery W.P. is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Clover, Geoffery W.P. can be contacted via phone (503) 494-8562.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-8562
Fax: (503) 418-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0041439 Colorado
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X DR.0041439 Colorado
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD204668 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD204668 Oregon

Profile Details

NPI number 1972504314
LBN Legal business name Clover, Geoffery W.P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 27th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972504314 NPPES
Colorado MEDICAID 53455878

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