| Integrated Medicine Group Llc | |
|
163 Ne 102nd Ave Bldg V Portland OR 97220-4169 | |
| (503) 257-3327 | |
| (503) 257-3374 |
| Full Name | Integrated Medicine Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 163 Ne 102nd Ave Bldg V, Portland, Oregon |
| Authorized Official Name and Position | Christy Heitsch (CLINIC DIRECTOR) |
| Authorized Official Contact | 5032573327 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medicine Group Llc 163 Ne 102nd Ave Bldg V Portland OR 97220-4169 Ph: (503) 257-3327 | Integrated Medicine Group Llc 163 Ne 102nd Ave Bldg V Portland OR 97220-4169 Ph: (503) 257-3327 |
| NPI Number | 1679508212 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679508212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD11610 (Oregon) | Primary |
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