NPI | 1750459327 |
---|---|
Doing Business As | PMG NEWBERG FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | MITCHELL NEYHART Chief Finance Officer 503-574-9840 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2006-12-01 |
Last Update Date | 2010-04-16 |