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PORTLAND OSTEOPATHIC PA NPI 1538113063


NPI Information

NPI: 1538113063
Provider Name: PORTLAND OSTEOPATHIC, PA
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
208 VAUGHAN ST
PORTLAND, ME
ZIP 04102
Phone: (207) 221-2355
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PORTLAND OSTEOPATHIC, PA is a neuromusculoskeletal medicine omm in Portland, ME. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. PORTLAND OSTEOPATHIC, PA NPI is 1538113063. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

208 VAUGHAN ST
PORTLAND, ME
ZIP 04102-204
Phone: (207) 221-2355
Fax: (207) 221-2356

The provider's authorized official is Eden J Zoll .
The authorized official title is Owner and has the following contact phone number (207) 221-2355.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 8/22/2020.


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
1204D00000XNeuromusculoskeletal Medicine & OMM1715MAINEYes

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: 11/14/2023

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