| Mt. Scott Medical Group Llc | |
|
9200 Se 91st Ave Ste 300 Portland OR 97086-3756 | |
| (503) 236-3443 | |
| (503) 236-3501 |
| Full Name | Mt. Scott Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9200 Se 91st Ave, Portland, Oregon |
| Authorized Official Name and Position | Katherine L Fisher (PHYSICIAN) |
| Authorized Official Contact | 5032343443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Scott Medical Group Llc 9200 Se 91st Ave Ste 300 Portland OR 97086-3756 Ph: (503) 236-3443 | Mt. Scott Medical Group Llc 9200 Se 91st Ave Ste 300 Portland OR 97086-3756 Ph: (503) 236-3443 |
| NPI Number | 1033223441 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033223441 | NPI | - | NPPES |
| 286451 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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