# PORTAGE REGIONAL GASTROENTEROLOGY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1235328980
- **Authorized official:** DR. MICHAEL S CLINE DO (OWNER)
- **Authorized official phone:** (330) 296-7256

## Contact information

- **Practice address:** 330 N CHESTNUT ST, RAVENNA, OH 44266-2287
- **Practice address phone:** (330) 296-7256
- **Practice address fax:** (330) 296-0127
- **Mailing address:** 330 N CHESTNUT ST, RAVENNA, OH 44266-2287
- **Mailing address phone:** (330) 296-7256
- **Mailing address fax:** (330) 296-0127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 10/18/2007