CITY OF PORTLAND MAINE NPI 1487896080

NPI Information

CITY OF PORTLAND MAINE is a public health and state or local clinic center in Portland, ME. CITY OF PORTLAND MAINE NPI is 1487896080. The provider is registered as an organization entity type.

The provider's business location address is:

166 BRACKETT ST
PORTLAND, ME
ZIP 04102-825
Phone: (207) 874-8786
Fax: (208) 874-8447

The provider's authorized official is Jon P Jennings .
The authorized official title is City Manager and has the following contact phone number (207) 874-8689.

The enumeration date for this NPI number is 3/27/2009 and was last updated on 10/6/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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