Organization · Type 2 NPI

Mainehealth

Family Medicine Physician · Portland, ME

NPI number 1629761978 Active

Practice location

110 Free St
Portland, ME 04101-3908

Call (207) 661-7001 Map

Mailing address

PO Box 360489
Pittsburgh, PA 15251-6489

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Neurological Surgery Physician 207T00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Pediatric Gastroenterology Physician 2080P0206XNone listed
Pediatric Hematology & Oncology Physician 2080P0207XNone listed
Surgery Physician 208600000XNone listed
Pediatric Surgery Physician 2086S0120XNone listed
Urology Physician 208800000XNone listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000XNone listed
Physical Therapist 225100000XNone listed
Magnetic Resonance Imaging Radiologic Technologist 2471M1202XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Portland

See all in Portland →

About NPI 1629761978

Mainehealth's National Provider Identifier is 1629761978, issued on Jun 1, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, ME. The record was last updated on Aug 3, 2026.