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NPI Verification

National Provider Identifier: 1558719450

Ascension Medical Group LLC

Organization

Primary Specialty

Family Medicine, Addiction Medicine

Code: 207QA0401X

Practice Address

700 N HAYDEN ISLAND DR STE 100

PORTLAND, OR 972178130

Phone: 971-533-5840

NPI Enumeration Date

June 1, 2016

NPI Number

1558719450

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Ascension Medical Group LLC - NPI 1558719450 | Provider Verification | HormoneMap