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

INTERSTATE MEDICAL GROUP LLC

Active Organization

INTERSTATE MEDICAL GROUP LLC is a Medical Specialty Clinic organization located in PORTLAND, Oregon. NPI 1932839776 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · PORTLAND, OR

Registration Details

NPI Number
1932839776
Provider Type
Organization
NPI Issued
Jun 14, 2022 (4.1468318286934 yrs)
Last Updated
Aug 24, 2022

Practice Information

Address
17221 SE DIVISION ST
PORTLAND, OR, 972361240
Browse OR providers · Browse ZIP 97236
Phone
5037600778
Fax
5037600753
Primary Specialty
Medical Specialty Clinic
261QM2500X
Additional Specialty
Chiropractor
Additional Specialty
Multi-Specialty Clinic
Additional Specialty
Medical Specialty Clinic
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.