Northwest Internal Medicine LLC

NPI #1932232741 in Tualatin, Oregon

Provider Information

NPI Number: 1932232741
Entity Type: Organization
Organization Name: Northwest Internal Medicine LLC
Primary Specialty: Specialist
Enumeration Date: Mar 13, 2007
Last Updated: Dec 2, 2014

Practice Location

Address: 19260 SW 65TH AVE STE 270
City: Tualatin
State: Oregon
ZIP Code: 97062-5705
Phone: (503) 329-1851

Authorized Official

Name: MS. TANA MARIE HAYNES, MD
Title: PRESIDENT
Phone: (503) 329-1851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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