Organization
PORTLAND PREVENTIVE CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN ELLEN MAYS MD, MS, FACC (SOLE MEMBER)
(503) 292-5678
Entity
Organization
Contact information
Practice address
8855 SW CANYON LN, PORTLAND, OR 97225-3411
(503) 292-5678
(503) 292-6665
Mailing address
8855 SW CANYON LN, PORTLAND, OR 97225-3411
(503) 292-5678
(503) 292-6665
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
MD25708
OR
261QP2300X
Primary Care Clinic/Center
Primary
MD25708
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213623
—
OR
Enumeration date
11/16/2012
Last updated
03/07/2023
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