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Physicians Internal Medicine

Provider NPI: 1649388521

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
4531 SE BELMONT ST STE 100 PORTLAND, OR 97215-1675 US
Tel: 503-215-6556  Fax: --

Business Mailing Address:
4531 SE BELMONT ST STE 100 PORTLAND, OR 97215-1675 US
Tel: 503-215-6556  Fax: --

NPI Information:
NPI: 1649388521
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Psychiatry & Neurology
Psychiatry & Neurology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2084P0805X





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