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Organization

ALTEA MEDICAL OREGON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY BELEN ARNDT (DIRECTOR OF BILLING)
(775) 287-3290
Entity
Organization

Contact information

Practice address
127 NE 102ND AVE STE A, PORTLAND, OR 97220-4152
(971) 978-1268
Mailing address
400 E RIVULON BLVD STE 103, GILBERT, AZ 85297-0096

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
09/13/2024
Last updated
04/23/2025
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