Individual
JOHN PHILIP MUENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12121 E BURNSIDE ST, PORTLAND, OR 97216-3737
(971) 361-7700
Mailing address
6819 SE 34TH AVE, PORTLAND, OR 97202-8211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19563
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075627
—
OR
Enumeration date
08/03/2006
Last updated
08/25/2023
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