Organization · Type 2 NPI

Premise Health of Oregon Medical P C

Multi-Specialty Clinic/Center · Portland, OR

NPI number 1134895410 Active

Practice location

6936 N Fathom St
Portland, OR 97217-3928

Call (971) 717-6307 Map

Fax (971) 717-6492

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1134895410

Premise Health of Oregon Medical P C's National Provider Identifier is 1134895410, issued on Aug 18, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Portland, OR. The record was last updated on Oct 13, 2022.