- Practice location
- 208 Vaughan St, Portland, ME 04102-3204
- Phone
- 207-221-2355
- Fax
- 207-221-2356
- Last updated
- August 22, 2020
Portland Osteopathic, PA is a healthcare organization based in Portland, ME. Portland Osteopathic, PA practices in Portland, ME. The NPI Number for Portland Osteopathic, PA is 1538113063 and holds a License No. 1715 (ME). The current practice location address for Portland Osteopathic, PA is 208 Vaughan St, Portland, ME 04102-3204 and can be reached out via phone at 207-221-2355 and via fax at 207-221-2356.
Provider Profile Details
- NPI Number
- 1538113063
- Provider Name
- Portland Osteopathic, PA
- Provider Entity Type
- Organization
- Address
- 208 Vaughan St, Portland, ME 04102-3204
- Phone Number
- 207-221-2355
- Fax Number
- 207-221-2356
- Primary Taxonomy
- Neuromusculoskeletal Medicine & OMM · 204D00000X
- Organization Subpart
- No
- Authorized Official
- Eden J Zoll, DO · Owner · 207-221-2355
- Provider Enumeration Date
- May 20, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 208 Vaughan St
Portland, ME 04102-3204 - City
- Portland
- State
- Maine
- Zip
- 04102-3204
- Phone Number
- 207-221-2355
- Fax Number
- 207-221-2356
Provider Business Mailing Address Details
- Address
- Po Box 4022
Portland, ME 04101-0222 - City
- Portland
- State
- ME
- Zip
- 04101-0222
- Phone Number
- 207-221-2355
- Fax Number
- 207-221-2356
License Information
- License Number
- 1715
- License State
- ME
- Taxonomy
- Neuromusculoskeletal Medicine & OMM · 204D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Neuromusculoskeletal Medicine & OMM providers near Portland, ME
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Frequently Asked Questions
What is the NPI number of Portland Osteopathic, PA?
The NPI number of Portland Osteopathic, PA is 1538113063. It was assigned on May 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Portland Osteopathic, PA?
Portland Osteopathic, PA is registered under the primary taxonomy Neuromusculoskeletal Medicine & OMM (code 204D00000X), licensed in ME under license number 1715.
Where does Portland Osteopathic, PA practice?
The practice location is 208 Vaughan St, Portland, ME 04102-3204. The office can be reached at 207-221-2355 (phone) or 207-221-2356 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538113063 directly on the NPPES registry website.