Northwest Internal Medicine Llc

LBN: Northwest Internal Medicine Llc
Northwest Internal Medicine Llc is an health care organization with primary practice located at 19260 Sw 65Th Ave Ste 270 , Tualatin OR 97062-5705. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Northwest Internal Medicine Llc can be contacted via phone (503) 329-1851, or through Haynes, Tana Marie via phone (503) 329-1851.

Contact Information

Primary practice address
19260 Sw 65Th Ave Ste 270 Tualatin OR 97062-5705
Phone: (503) 329-1851
Fax: (503) 885-8946
Website:
Map and Directions
Authorized official contact:
Name: Haynes, Tana Marie Doctor of Medicine (MD)
Phone: (503) 329-1851

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD24660 Oregon

Profile Details

NPI number 1932232741
LBN Legal business name Northwest Internal Medicine Llc
DBA Doing business as
Authorized official Haynes, Tana Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Dec 2nd, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932232741 NPPES
Oregon MEDICAID 029123

Popular Providers