Organization
WONDERFUL MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE KATZ MD (PRESIDENT)
(508) 404-9910
Entity
Organization
Contact information
Practice address
920 SW 6TH AVE STE 1200, PORTLAND, OR 97204-1212
(503) 208-4116
(503) 213-6510
Mailing address
PO BOX 1714, BEAVERTON, OR 97075-1714
(503) 208-4116
(503) 213-6510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
07/25/2021
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