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Medical Wellness Group Llc
Family Medicine Physician in Portland, Oregon
NPI 1003218223

Medical Wellness Group Llc is a Family Medicine Physician based in Temple Terrace, OR. Medical Wellness Group Llc practices in Portland, OR. The NPI Number for Medical Wellness Group Llc is 1003218223 and holds a License No. MD167486 (Oregon).

The current practice location address for Medical Wellness Group Llc is 1359 Ne 35Th Avenue, Portland, OR and can be reached out via phone at 503-389-5545.

Location: 1359 Ne 35Th Avenue, Portland, OR, 33617-1391
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003218223
Provider Name
Medical Wellness Group Llc
Credential
Provider Entity Type
Organization
Address
1359 Ne 35Th Avenue, Portland, OR, 33617-1391
Phone Number
503-389-5545
Fax Number
Provider Enumeration Date
09/18/2014
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
R177434 01 OR MEDICARE ID
1811200165 01 OR INDIVIDUAL SOLE PROVIDER NPI
institution
Provider Business Practice Location Address Details
Address
1359 Ne 35Th Avenue
City
Portland
State
Oregon
Zip
97232
Phone Number
503-389-5545
Fax Number
person
Provider Business Mailing Address Details
Address
1359 Ne 35Th Avenue
City
Portland
State
Oregon
Zip
97232
Phone Number
503-389-5545
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD167486 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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