Premise Health of Oregon Medical P C
Premise Health of Oregon Medical P C is a Multi-Specialty Clinic/Center in Portland, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
6936 N Fathom StPortland, OR 97217-3928
Phone: (971) 717-6307
Fax: (971) 717-6492
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1134895410 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jonathan Leizman — President · (216) 479-9063 |
| Other names | Dtna - Portland Occ; Dtna - Portland Occ |
| NPI enumerated | August 18, 2021 |
| Last updated in NPPES | October 13, 2022 |
| Certification date | October 13, 2022 |
| Mailing address | 5500 Maryland Way, Brentwood, TN 37027-7048 |
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