NPI 1033249404

Integrated Medicine Group LLC

Organisation General Practice Physician Portland, OR

Practice location

Address: 163 NE 102nd Ave Building V, Portland, OR 97220-4169
Phone: (503) 257-3327
Fax: (503) 257-3374

Authorised official

Name: Christy C Heitsch
Title: Owner Administrative Director
Phone: (503) 257-3327

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Oregon →

Registry record

NPI: 1033249404
Entity type: Organization
NPI issued: 6 Mar 2007
Record last updated: 21 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.