| NPI | 1285960732 |
|---|---|
| Doing Business As | CENTRAL INTERSTATE MEDICAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN SHAWN BARTON Executive Director, Revenue Cycle 503-813-2440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2021-06-01 |