Mt. Scott Medical Group LLC

NPI #1033223441 in Portland, Oregon

Provider Information

NPI Number: 1033223441
Entity Type: Organization
Organization Name: Mt. Scott Medical Group LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 19, 2006
Last Updated: Jan 28, 2008

Practice Location

Address: 9200 SE 91ST AVE
Address 2: STE 300
City: Portland
State: Oregon
ZIP Code: 97086-3756
Phone: (503) 236-3443

Authorized Official

Name: KATHERINE L FISHER, DO
Title: PHYSICIAN
Phone: (503) 234-3443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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