| Nic Group Inc | |
|
8383 Ne Sandy Blvd Ste 320dd Portland OR 97220-4968 | |
| (503) 235-5781 | |
| Not Available |
| Full Name | Nic Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 8383 Ne Sandy Blvd Ste 320dd, Portland, Oregon |
| Authorized Official Name and Position | Inna Naumova (OWNER) |
| Authorized Official Contact | 5032355781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nic Group Inc 8383 Ne Sandy Blvd Ste 320dd Portland OR 97220-4968 Ph: (503) 235-5781 | Nic Group Inc 8383 Ne Sandy Blvd Ste 320dd Portland OR 97220-4968 Ph: (503) 235-5781 |
| NPI Number | 1255651592 |
|---|---|
| Provider Enumeration Date | 06/09/2010 |
| Last Update Date | 06/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255651592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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