institution
My Other Me
Gynecology Physician in Portland, Oregon
NPI 1801462080

My Other Me is a Gynecology Physician based in Portland, OR and is specialized in Gynecology. My Other Me practices in Portland, OR. The NPI Number for My Other Me is 1801462080 and holds a License No. (Oregon).

The current practice location address for My Other Me is 519 Sw Park Ave Ste 304, Portland, OR and can be reached out via phone at 503-522-1446.

Location: 519 Sw Park Ave Ste 304, Portland, OR, 97215-4005
institution
Provider Profile Details
NPI Number
1801462080
Provider Name
My Other Me
Credential
Provider Entity Type
Organization
Address
519 Sw Park Ave Ste 304, Portland, OR, 97215-4005
Phone Number
503-522-1446
Fax Number
Provider Enumeration Date
05/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5006254 05 OR
institution
Provider Business Practice Location Address Details
Address
519 Sw Park Ave Ste 304
City
State
Zip
97205-3204
Phone Number
503-522-1446
Fax Number
person
Provider Business Mailing Address Details
Address
519 Sw Park Ave Ste 304
City
State
Zip
97205-3204
Phone Number
503-522-1446
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
()
Definition
Definition to come...
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