Family Medical Group Northeast, P.C.

LBN: Family Medical Group Northeast, P.C.
Family Medical Group Northeast, P.C. is an health care organization with primary practice located at 2647 Ne 33Rd Ave , Portland OR 97212-3647. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medical Group Northeast, P.C. can be contacted via phone (503) 288-0083, or through Adams, Keirene via phone (503) 288-0083.

Contact Information

Primary practice address
2647 Ne 33Rd Ave Portland OR 97212-3647
Phone: (503) 288-0083
Fax: (503) 288-7843
Website:
Map and Directions
Authorized official contact:
Name: Adams, Keirene
Phone: (503) 288-0083

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1831385673
LBN Legal business name Family Medical Group Northeast, P.C.
DBA Doing business as
Authorized official Adams, Keirene
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2007
Last updated Sep 14th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831385673 NPPES
Oregon Other R000WCHMD MEDICARE GROUP NUMBER

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