Portland West Family Practice, LLC

NPI #1982753307 in Westbrook, Maine

Provider Information

NPI Number: 1982753307
Entity Type: Organization
Organization Name: Portland West Family Practice, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jan 9, 2007
Last Updated: Oct 6, 2016

Practice Location

Address: 114 STROUDWATER ST
City: Westbrook
State: Maine
ZIP Code: 04092-4037
Phone: (207) 856-6792

Authorized Official

Name: CHRISTINE D BLAKE, DO
Title: PARTNER
Phone: (207) 856-6792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neuromusculoskeletal Medicine & OMM	204D00000X
Family Medicine	207Q00000X	Primary

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