Organization
NW INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY HOWARD (OFFICE MANAGER)
(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
261QH0100X
Health Service Clinic/Center
Primary
166613
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500681386
—
OR
Enumeration date
03/23/2015
Last updated
03/23/2015
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