Internal Medicine Associates Of Portland, Llc | |
10373 Ne Hancock St Suite 115 Portland OR 97220-3873 | |
(503) 853-8631 | |
(503) 853-8636 |
Full Name | Internal Medicine Associates Of Portland, Llc |
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Speciality | Internal Medicine |
Location | 10373 Ne Hancock St, Portland, Oregon |
Authorized Official Name and Position | F. William Miller (OWNER) |
Authorized Official Contact | 5038538631 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Internal Medicine Associates Of Portland, Llc 10373 Ne Hancock St Suite 115 Portland OR 97220-3873 Ph: (503) 853-8631 | Internal Medicine Associates Of Portland, Llc 10373 Ne Hancock St Suite 115 Portland OR 97220-3873 Ph: (503) 853-8631 |
NPI Number | 1174710990 |
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Provider Enumeration Date | 09/25/2007 |
Last Update Date | 01/04/2008 |
Identifier | Type | State | Issuer |
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1174710990 | NPI | - | NPPES |
139365 | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MD08175 (Oregon) | Primary |
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