# PPM OREGON LLC

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

## Provider details

- **NPI number:** 1891434528
- **Authorized official:** AMBER L TUELLER (SECRETARY)
- **Authorized official phone:** (208) 207-2726

## Contact information

- **Practice address:** 7515 NE AMBASSADOR PL STE C, PORTLAND, OR 97220-1379
- **Practice address phone:** (888) 253-6598
- **Mailing address:** 1675 E RIVERSIDE DR STE 200, EAGLE, ID 83616-7473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2022
- **Last updated:** 06/06/2025