# INTERNAL MEDICINE SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1407045057
- **Authorized official:** MR. FRED W. ANDERSON (MANAGER)
- **Authorized official phone:** (503) 230-9224

## Contact information

- **Practice address:** 5050 NE HOYT ST, SUITE 203, PORTLAND, OR 97213-2991
- **Practice address phone:** (503) 230-9224
- **Practice address fax:** (503) 230-9201
- **Mailing address:** 5050 NE HOYT ST, SUITE 203, PORTLAND, OR 97213-2991
- **Mailing address phone:** (503) 230-9224
- **Mailing address fax:** (503) 230-9201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/19/2007
- **Last updated:** 10/19/2007