<unavail> in Portland, OR - Internal Medicine

is a primary clinic (Internal Medicine) in Portland, Oregon. The current practice location for is 6036 Se 40th Ave, Portland, Oregon. For appointments, you can reach them via phone at (770) 687-7654. The mailing address for is 6036 Se 40th Ave, Portland, Oregon and phone number is () -.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1417709205. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (770) 687-7654.

Contact Information


	6036 Se 40th Ave Portland OR 97202-7616
	(770) 687-7654
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	6036 Se 40th Ave, Portland, Oregon
Authorized Official Name and Position	Stuart Malcolm (OWNER)
Authorized Official Contact	7706877654
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
6036 Se 40th Ave Portland OR 97202-7616 Ph: () -	6036 Se 40th Ave Portland OR 97202-7616 Ph: (770) 687-7654

NPI Details:

NPI Number	1417709205
Provider Enumeration Date	04/04/2024
Last Update Date	11/19/2024

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417709205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Reviews and Comments

Internal Medicine in Portland, OR

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Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301
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- Primary Care in Portland, OR