Portland West Family Practice, Llc
LBN: Portland West Family Practice, Llc
Portland West Family Practice, Llc is an health care organization with primary practice located at 114 Stroudwater St , Westbrook ME 04092-4037. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Portland West Family Practice, Llc can be contacted via phone (207) 856-6792, or through Blake, Christine D via phone (207) 856-6792.
Contact Information
Primary practice address
114 Stroudwater St
Westbrook ME 04092-4037
Phone: (207) 856-6792
Fax: (207) 854-1146
Website:
Authorized official contact:
Name: Blake, Christine D Doctor of Osteopathy (DO)
Phone: (207) 856-6792
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | Maine | |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Maine |
Profile Details
| NPI number | 1982753307 |
|---|---|
| LBN Legal business name | Portland West Family Practice, Llc |
| DBA Doing business as | |
| Authorized official | Blake, Christine D Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Oct 6th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982753307 | NPPES |
| Maine | MEDICAID | 409080000 |
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