Viking Medical Practice Pc

NPI 1801011630 - Family Medicine - 207Q00000X

NPI Details
NPI 1801011630
Enumeration Date 04/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN THOMAS JOHN
Position PRESIDENT
Phone (503) 297-8751
Fax
Practice Location
5560 SW HEWETT BLVD
PORTLAND OR, 97221-2239, US
Phone (503) 297-8751
Fax
Business Location
5560 SW HEWETT BLVD
PORTLAND OR, 97221-2239, US
Phone (503) 297-8751
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number 8489
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According to our database, Viking Medical Practice Pc NPI is 1801011630, taxonomy code is 207Q00000X and license number is 8489, license state is located at Oregon. Viking Medical Practice Pc physically located at 5560 Sw Hewett Blvd, Portland OR, 97221-2239. NPI Number 1033115704 has the healthcare provider type.

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1801011630 NPI number is provided on an as is basis without warranty of any kind. 1801011630 is maintained by the National Plan & Provider Enumeration System. The contents of Viking Medical Practice Pc are for informational purposes only.