Organization · Type 2 NPI

Integrated Medicine Group LLC

General Practice Physician · Portland, OR

NPI number 1679508212 Active

Practice location

163 NE 102nd Ave Bldg V
Portland, OR 97220-4169

Call (503) 257-3327 Map

Fax (503) 257-3374

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XMD11610 (OR)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1679508212

Integrated Medicine Group LLC's National Provider Identifier is 1679508212, issued on Jul 12, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Portland, OR. The record was last updated on Jan 22, 2008.