NPI 1861520991

Mtn. View Family Practice, PC

Organisation Family Medicine Physician Gresham, OR

Practice location

Address: 24900 SE Stark St Suite 205, Gresham, OR 97030-3355
Phone: (503) 665-1010
Fax: (503) 665-1023

Authorised official

Name: Paul V Podett
Title: President
Phone: (503) 665-1010

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD18120 (OR)

Other Family Medicine providers in Oregon →

Registry record

NPI: 1861520991
Entity type: Organization
NPI issued: 1 Mar 2007
Record last updated: 25 Mar 2014

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.