| Integral Health Pc | |
|
2950 Se Stark St Ste 210 Portland OR 97214-3082 | |
| (503) 235-3767 | |
| (503) 236-9537 |
| Full Name | Integral Health Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2950 Se Stark St Ste 210, Portland, Oregon |
| Authorized Official Name and Position | Craig Calvin Redfern (PRESIDENT) |
| Authorized Official Contact | 5032353767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Health Pc 2950 Se Stark St Ste 210 Portland OR 97214-3082 Ph: (503) 235-3767 | Integral Health Pc 2950 Se Stark St Ste 210 Portland OR 97214-3082 Ph: (503) 235-3767 |
| NPI Number | 1861661241 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 11/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861661241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO14108 (Oregon) | Primary |
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