Portland Primary Care, LLC

NPI #1225072473 in Portland, Tennessee

Provider Information

NPI Number
1225072473
Entity Type
Organization
Organization Name
Portland Primary Care, LLC
Primary Specialty
Family Medicine
Enumeration Date
Jun 16, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
103 REDBUD DR
Address 2
SUITE E
ZIP Code
37148-1617
Phone
(615) 325-1206

Authorized Official

Name
CHUCK LOCKE
Title
VP
Phone
(615) 325-1206

Specialties & Taxonomy Codes

Specialty
Family Medicine

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