| Wonderful Medical Group Pc | |
|
920 Sw 6th Ave Ste 1200 Portland OR 97204-1212 | |
| (503) 208-4116 | |
| (503) 213-6510 |
| Full Name | Wonderful Medical Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 920 Sw 6th Ave Ste 1200, Portland, Oregon |
| Authorized Official Name and Position | Jeffrey Lee Katz (PRESIDENT) |
| Authorized Official Contact | 5084049910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonderful Medical Group Pc Po Box 1714 Beaverton OR 97075-1714 Ph: (503) 208-4116 | Wonderful Medical Group Pc 920 Sw 6th Ave Ste 1200 Portland OR 97204-1212 Ph: (503) 208-4116 |
| NPI Number | 1154914232 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 07/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154914232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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