Integrated Medicine Group Llc in Portland - General Practice
Integrated Medicine Group Llc - NPI 1679508212
Integrated Medicine Group Llc is a General Practice in Portland, Oregon. Integrated Medicine Group Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Integrated Medicine Group Llc is 1679508212. The last update date is 2008-01-22.
Integrated Medicine Group Llc's current location address is 163 Ne 102nd Ave Bldg V, Portland, Oregon. You can contact this provider via phone number 5032573327 and fax number 5032573374. The mailing address for Integrated Medicine Group Llc is 163 Ne 102nd Ave Bldg V, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Integrated Medicine Group Llc |
|---|---|
| Address | 163 Ne 102nd Ave Bldg V, Portland, Oregon |
| Phone Number | 5032573327 |
| Fax Number | 5032573374 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC DIR |
|---|---|
| Authorized Official Name | Heitsch Christy |
| Telephone Number | 5032573327 |
NPI Number Detail
| NPI Number | 1679508212 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2008-01-22 |
Provider Mailing Address Detail
| Address | 163 Ne 102nd Ave Bldg V |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972204169 |
| Phone Number | 5032573327 |
| Fax Number | 5032573374 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD11610 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identification code assigned to Integrated Medicine Group Llc by the Centers for Medicare & Medicaid Services?
The Integrated Medicine Group Llc has been issued the NPI (National Provider Identifier) 1679508212, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Integrated Medicine Group Llc located?
The Integrated Medicine Group Llc is located at 163 Ne 102Nd Ave Bldg V, Portland, OR 972204169.
What is Integrated Medicine Group Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Integrated Medicine Group Llc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679508212 to Integrated Medicine Group Llc?
The Integrated Medicine Group Llc received its 1679508212 assignment from the Centers for Medicare & Medicaid Services on 2006-07-12.
As of what date were the details related to Integrated Medicine Group Llc most recently updated or revised?
The information pertaining to Integrated Medicine Group Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-22.
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