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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRESHAM INTERNAL MEDICINE CLINIC

Active Organization

GRESHAM INTERNAL MEDICINE CLINIC is a Internal Medicine organization located in GRESHAM, Oregon. NPI 1134204340 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · GRESHAM, OR

Registration Details

NPI Number
1134204340
Provider Type
Organization
NPI Issued
Oct 26, 2006 (19.804768624685 yrs)
Last Updated
Dec 11, 2008
License
01794 (OR)

Practice Information

Address
24900 SE STARK ST STE 109
GRESHAM, OR, 970303381
Browse OR providers · Browse ZIP 97030
Phone
5036671015
Fax
5036670406
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Organizations in GRESHAM, OR

Name NPI
MTH CLINIC PC 1558354522
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.