Mt. Tabor Family Medical Group, Pc in Portland - Clinic/center

Mt. Tabor Family Medical Group, Pc - NPI 1659468080

Mt. Tabor Family Medical Group, Pc is a Clinic/center in Portland, Oregon. Mt. Tabor Family Medical Group, Pc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Mt. Tabor Family Medical Group, Pc is 1659468080. The last update date is 2013-03-01.

Mt. Tabor Family Medical Group, Pc's current location address is 5919 Se Belmont St, Portland, Oregon. You can contact this provider via phone number 5032347366 and fax number 5032348928. The mailing address for Mt. Tabor Family Medical Group, Pc is 5919 Se Belmont St, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mt. Tabor Family Medical Group, Pc
Address 5919 Se Belmont St, Portland, Oregon
Phone Number 5032347366
Fax Number 5032348928
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINIC MAN
Authorized Official Name Nies E Lori
Telephone Number 5032347366

NPI Number Detail

NPI Number 1659468080
Provider Enumeration Date 2006-10-06
Last Updated Date 2013-03-01

Provider Mailing Address Detail

Address 5919 Se Belmont St
City Portland
State Oregon (OR)
Post Code 972151925
Phone Number 5032347366
Fax Number 5032348928

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

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FAQs about Mt. Tabor Family Medical Group, Pc

What is the unique 10-digit identifier code assigned to Mt. Tabor Family Medical Group, Pc by the Centers for Medicare & Medicaid Services?

The Mt. Tabor Family Medical Group, Pc has been issued the NPI (National Provider Identifier) 1659468080 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Mt. Tabor Family Medical Group, Pc?

The Mt. Tabor Family Medical Group, Pc is situated at 5919 Se Belmont St, in the city of Portland, state of OR, with the zip code 972151925.

What is the area of specialization for Mt. Tabor Family Medical Group, Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mt. Tabor Family Medical Group, Pc is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1659468080 to Mt. Tabor Family Medical Group, Pc?

The Centers for Medicare & Medicaid Services assigned the 1659468080 to Mt. Tabor Family Medical Group, Pc on 2006-10-06.

When was the information related to Mt. Tabor Family Medical Group, Pc most recently updated or refreshed?

The details pertaining to the Mt. Tabor Family Medical Group, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-03-01.

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