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Organization
INTERNAL MEDICINE OF OREGON, LLC
Active
Organization
INTERNAL MEDICINE OF OREGON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PORFIRIO PENA JR. MD (OWNER)
(503) 230-9224
Entity
Organization
Contact information
Practice address
5050 NE HOYT ST, SUITE 203, PORTLAND, OR 97213-2991
(503) 230-9224
(503) 230-9201
Mailing address
5050 NE HOYT ST, SUITE 203, PORTLAND, OR 97213-2991
(503) 230-9224
(503) 230-9201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15289
OR
Other
Enumeration date
09/24/2007
Last updated
11/26/2007
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