Organization
NIC GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNA NAUMOVA (OWNER)
(503) 235-5781
Entity
Organization
Contact information
Practice address
8383 NE SANDY BLVD STE 320DD, PORTLAND, OR 97220-4968
(503) 235-5781
Mailing address
8383 NE SANDY BLVD STE 320DD, PORTLAND, OR 97220-4968
(503) 235-5781
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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