Portland Primary Care LLC

NPI #1720034226 in Portland, Tennessee

Provider Information

NPI Number: 1720034226
Entity Type: Organization
Organization Name: Portland Primary Care LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HTI HOSPITAL HOLDINGS, INC.
Primary Specialty: Internal Medicine
Enumeration Date: May 26, 2006
Last Updated: Dec 11, 2007

Practice Location

Address: 103 REDBUD DR
Address 2: SUITE E
City: Portland
State: Tennessee
ZIP Code: 37148-1617
Phone: (615) 325-1206

Authorized Official

Name: JEFF RYDBURG
Title: VP
Phone: (615) 373-7415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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