Internal Medicine Specialists, LLC

NPI #1407045057 in Portland, Oregon

Provider Information

NPI Number: 1407045057
Entity Type: Organization
Organization Name: Internal Medicine Specialists, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 19, 2007
Last Updated: Oct 19, 2007

Practice Location

Address: 5050 NE HOYT ST
Address 2: SUITE 203
City: Portland
State: Oregon
ZIP Code: 97213-2991
Phone: (503) 230-9224

Authorized Official

Name: MR. FRED W. ANDERSON
Title: MANAGER
Phone: (503) 230-9224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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