Organization · Type 2 NPI

Portland Iom, LLC

Medical Specialty Clinic/Center · Nashville, TN

NPI number 1508173204 Active

Practice location

DC2 209 10th Ave S, Suite 232
Nashville, TN 37203

Call (615) 712-9574 Map

Mailing address

209 10th Ave South, Suite 232
Nashville, TN 37203

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1508173204

Portland Iom, LLC's National Provider Identifier is 1508173204, issued on Sep 2, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Nashville, TN. The record was last updated on Sep 2, 2010.