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1033249404
INTEGRATED MEDICINE GROUP LLC
PORTLAND, OR
NPI
1033249404
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Entity Type
Organization
Authorized Contact
CHRISTY C HEITSCH
Owner Administrative Director
503-257-3327
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2007-03-06
Last Update Date
2008-02-21
Business Address
INTEGRATED MEDICINE GROUP LLC
163 NE 102ND AVE BUILDING V
PORTLAND, OR 97220-4169
Phone number: 503-257-3327
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Mailing Address
INTEGRATED MEDICINE GROUP LLC
163 NE 102ND AVE BUILDING V
PORTLAND, OR 97220-4169
Phone number: 503-257-3327
Copy
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