NPI 1538113063

Portland Osteopathic, PA

Organisation Neuromusculoskeletal Medicine & OMM Physician Portland, ME

Practice location

Address: 208 Vaughan St, Portland, ME 04102-3204
Phone: (207) 221-2355
Fax: (207) 221-2356
Mailing address: PO Box 4022, Portland, ME 04101-0222

Authorised official

Name: Eden J Zoll
Title: Owner
Phone: (207) 221-2355

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 1715 (ME)

Other Neuromusculoskeletal Medicine & OMM providers in Maine →

Registry record

NPI: 1538113063
Entity type: Organization
NPI issued: 20 May 2006
Record last updated: 22 Aug 2020

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.