Organization · Type 2 NPI

Mt. Tabor Family Medical Group, P.c.

Non-Pharmacy Dispensing Site · Portland, OR

NPI number 1548416944 Active

Practice location

5919 SE Belmont St
Portland, OR 97215-1925

Call (503) 234-7366 Map

Mailing address

5810 Nancy Ridge Dr, 100
San Diego, CA 92121-2834

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XMD12668 (OR)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

4 other providers at this address

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About NPI 1548416944

Mt. Tabor Family Medical Group, P.c.'s National Provider Identifier is 1548416944, issued on Aug 18, 2008. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Portland, OR. The record was last updated on Jul 2, 2010.