Organization
NORTHEAST MEDICAL CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN J CODINO DC (PRESIDENT)
(503) 493-9730
Entity
Organization
Contact information
Practice address
4317 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(503) 493-9730
Mailing address
4317 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(503) 493-9730
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
215193-92
OR
Other
Enumeration date
10/30/2008
Last updated
11/21/2008
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