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WOODSTOCK FAMILY MEDICINE LLC NPI 1003055237


NPI Information

NPI: 1003055237
Provider Name: WOODSTOCK FAMILY MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5536 SE WOODSTOCK BLVD
PORTLAND, OR
ZIP 97206
Phone: (503) 236-1830
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WOODSTOCK FAMILY MEDICINE LLC is a family medicine in Portland, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WOODSTOCK FAMILY MEDICINE LLC NPI is 1003055237. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5536 SE WOODSTOCK BLVD
PORTLAND, OR
ZIP 97206-829
Phone: (503) 236-1830
Fax: (503) 236-1908

The provider's authorized official is Melanie J Smythe .
The authorized official title is Provider and has the following contact phone number (503) 236-1830.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 2/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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