Mt. Tabor Family Medical Group, P.C.
LBN: Mt. Tabor Family Medical Group, P.C.
Mt. Tabor Family Medical Group, P.C. is an health care organization with primary practice located at 5919 Se Belmont St , Portland OR 97215-1925. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty.
Mt. Tabor Family Medical Group, P.C. can be contacted via phone (503) 234-7366, or through Heine, Kenny via phone (858) 625-2990.
Contact Information
Primary practice address
5919 Se Belmont St
Portland OR 97215-1925
Phone: (503) 234-7366
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Non-Pharmacy Dispensing Site | 332900000X | MD12668 | Oregon |
Profile Details
NPI number | 1548416944 |
---|---|
LBN Legal business name | Mt. Tabor Family Medical Group, P.C. |
DBA Doing business as | |
Authorized official | Heine, Kenny |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Aug 18th, 2008 |
Last updated | Jul 2nd, 2010 - about 14 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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