MT. TABOR FAMILY MEDICAL GROUP, P.C.

PORTLAND, OR
NPI1548416944
Entity TypeOrganization
Authorized ContactKENNY HEINE
Director Of Operations
858-625-2990
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: OR  MD12668)
Enumeration Date2008-08-18
Last Update Date2010-07-02
Business Address
MT. TABOR FAMILY MEDICAL GROUP, P.C.
5919 SE BELMONT ST
PORTLAND, OR 97215-1925
Phone number: 503-234-7366
Mailing Address
MT. TABOR FAMILY MEDICAL GROUP, P.C.
5810 NANCY RIDGE DR 100
SAN DIEGO, CA 92121-2834
Phone number:
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