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Portland Iom, Llc
Medical Specialty Clinic/Center in Nashville, Tennessee
NPI 1508173204

Portland Iom, Llc is a Medical Specialty Clinic/Center based in Nashville, TN and is specialized in Medical Specialty. Portland Iom, Llc practices in Nashville, TN. The NPI Number for Portland Iom, Llc is 1508173204 and holds a License No. (Tennessee).

The current practice location address for Portland Iom, Llc is Dc2 209 10Th Ave S, Nashville, TN and can be reached out via phone at 615-712-9574.

Location: Dc2 209 10Th Ave S, Nashville, TN, 37203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508173204
Provider Name
Portland Iom, Llc
Credential
Provider Entity Type
Organization
Address
Dc2 209 10Th Ave S, Nashville, TN, 37203
Phone Number
615-712-9574
Fax Number
Provider Enumeration Date
09/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Dc2 209 10Th Ave S
City
Nashville
State
Tennessee
Zip
37203
Phone Number
615-712-9574
Fax Number
person
Provider Business Mailing Address Details
Address
Dc2 209 10Th Ave S
City
Nashville
State
Tennessee
Zip
37203
Phone Number
615-712-9574
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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