Portage Family Medicine, INC
NPI #1609968726 in Streetsboro, Ohio
Provider Information
- NPI Number
- 1609968726
- Entity Type
- Organization
- Organization Name
- Portage Family Medicine, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 9480 ROSEMONT DR
- Address 2
- SUITE 100
- City
- Streetsboro
- State
- Ohio
- ZIP Code
- 44241-4569
- Phone
- (330) 626-5566
Authorized Official
- Name
- MS. LORA J HAVER
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (330) 626-5566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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