institution
Integrated Medicine Group Llc
General Practice Physician in Portland, Oregon
NPI 1679508212

Integrated Medicine Group Llc is a General Practice Physician based in Portland, OR. Integrated Medicine Group Llc practices in Portland, OR. The NPI Number for Integrated Medicine Group Llc is 1679508212 and holds a License No. MD11610 (Oregon).

The current practice location address for Integrated Medicine Group Llc is 163 Ne 102Nd Ave Bldg V, Portland, OR and can be reached out via phone at 503-257-3327 and via fax at 503-257-3374.

Location: 163 Ne 102Nd Ave Bldg V, Portland, OR, 97220-4169
institution
Provider Profile Details
NPI Number
1679508212
Provider Name
Integrated Medicine Group Llc
Credential
Provider Entity Type
Organization
Address
163 Ne 102Nd Ave Bldg V, Portland, OR, 97220-4169
Phone Number
503-257-3327
Fax Number
503-257-3374
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
163 Ne 102Nd Ave Bldg V
City
State
Zip
97220-4169
Phone Number
503-257-3327
Fax Number
503-257-3374
person
Provider Business Mailing Address Details
Address
163 Ne 102Nd Ave Bldg V
City
State
Zip
97220-4169
Phone Number
503-257-3327
Fax Number
503-257-3374
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD11610 (Oregon)
Definition
Definition to come...
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