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THE ENDOCRINE CLINIC PC NPI 1255367884


NPI Information

NPI: 1255367884
Provider Name: THE ENDOCRINE CLINIC PC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
10000 SE MAIN ST
SUITE 403
PORTLAND, OR
ZIP 97216
Phone: (503) 256-4096
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THE ENDOCRINE CLINIC PC is an endocrinology and diabetes and metabolism internal medicine in Portland, OR. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. THE ENDOCRINE CLINIC PC NPI is 1255367884. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10000 SE MAIN ST
SUITE 403
PORTLAND, OR
ZIP 97216-448
Phone: (503) 256-4096
Fax: (503) 256-0101

The provider's authorized official is Tami L Prideaux .
The authorized official title is Clinic Manager and has the following contact phone number (503) 256-4096.

The enumeration date for this NPI number is 6/24/2006 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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismMD019378OREGONYes

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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