Organization · Type 2 NPI

Mt. Tabor Family Medical Group, PC

Clinic/Center · Portland, OR

NPI number 1659468080 Active

Practice location

5919 SE Belmont St
Portland, OR 97215-1925

Call (503) 234-7366 Map

Fax (503) 234-8928

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4 other providers at this address

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About NPI 1659468080

Mt. Tabor Family Medical Group, PC's National Provider Identifier is 1659468080, issued on Oct 6, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Portland, OR. The record was last updated on Mar 1, 2013.