| Interstate Medical Office East | |
|
3550 N Interstate Ave Portland OR 97227-1196 | |
| (800) 813-2000 | |
| (503) 286-6879 |
| Full Name | Interstate Medical Office East |
|---|---|
| Speciality | General Practice |
| Location | 3550 N Interstate Ave, Portland, Oregon |
| Authorized Official Name and Position | Stephen Shawn Barton (EXECUTIVE DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 5038132440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interstate Medical Office East 500 Ne Multnomah St Portland OR 97232-2023 Ph: (800) 813-2000 | Interstate Medical Office East 3550 N Interstate Ave Portland OR 97227-1196 Ph: (800) 813-2000 |
| NPI Number | 1093266645 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093266645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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