Interstate Medical Group Llc

LBN: Interstate Medical Group Llc
Interstate Medical Group Llc is an health care organization with primary practice located at 17221 Se Division St , Portland OR 97236-1240. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Medical Specialty. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Interstate Medical Group Llc can be contacted via phone (503) 760-0778, or through Logiudice, Michael via phone (503) 339-7351.

Contact Information

Primary practice address
17221 Se Division St Portland OR 97236-1240
Phone: (503) 760-0778
Fax: (503) 760-0753
Website:
Map and Directions
Authorized official contact:
Name: Logiudice, Michael Doctor of Chiropractic (DC)
Phone: (503) 339-7351

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1932839776
LBN Legal business name Interstate Medical Group Llc
DBA Doing business as
Authorized official Logiudice, Michael Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2022
Last updated Aug 24th, 2022 - about 2 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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