Individual
LINDA M HUNGERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1321 NE 99TH AVE, SUITE 100, PORTLAND, OR 97220-9436
(503) 215-4050
(503) 215-4055
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18263
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110130497
RR MEDICARE
OR
Enumeration date
06/25/2006
Last updated
03/15/2021
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