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Organization
MTN. VIEW FAMILY PRACTICE, PC
Active
Organization
MTN. VIEW FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL V PODETT MD (PRESIDENT)
(503) 665-1010
Entity
Organization
Contact information
Practice address
24900 SE STARK ST, SUITE 205, GRESHAM, OR 97030-3355
(503) 665-1010
(503) 665-1023
Mailing address
24900 SE STARK ST, SUITE 205, GRESHAM, OR 97030-3355
(503) 665-1010
(503) 665-1023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18120
OR
Other
Enumeration date
03/01/2007
Last updated
03/25/2014
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