MT. TABOR FAMILY MEDICAL GROUP, PC

PORTLAND, OR
NPI1659468080
Entity TypeOrganization
Authorized ContactLORI E NIES
Clinic Manager
503-234-7366
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2006-10-06
Last Update Date2013-03-01
Business Address
MT. TABOR FAMILY MEDICAL GROUP, PC
5919 SE BELMONT ST
PORTLAND, OR 97215-1925
Phone number: 503-234-7366
Mailing Address
MT. TABOR FAMILY MEDICAL GROUP, PC
5919 SE BELMONT ST
PORTLAND, OR 97215-1925
Phone number: 503-234-7366
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