# INTERNAL MEDICINE ASSOCIATES OF PORTLAND, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174710990
- **Authorized official:** DR. F. WILLIAM MILLER M.D. (OWNER)
- **Authorized official phone:** (503) 853-8631

## Contact information

- **Practice address:** 10373 NE HANCOCK ST, SUITE 115, PORTLAND, OR 97220-3873
- **Practice address phone:** (503) 853-8631
- **Practice address fax:** (503) 853-8636
- **Mailing address:** 10373 NE HANCOCK ST, SUITE 115, PORTLAND, OR 97220-3873
- **Mailing address phone:** (503) 853-8631
- **Mailing address fax:** (503) 853-8636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD08175 | OR | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 01/04/2008