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INTEGRATED MEDICINE GROUP LLC
NPI 1033249404
General Practice in Portland, OR

Active since March 06, 2007
163 NE 102ND AVE, BUILDING V, PORTLAND, OR 97220(503) 257-3327(503) 257-3374 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Medicine Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED MEDICINE GROUP LLC (NPI 1033249404) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since March 2007. The organization lists Christy C Heitsch, Owner Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1033249404
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED MEDICINE GROUP LLC
Location Address163 NE 102ND AVE, BUILDING VPortland, OR 97220-4169
Mailing Address163 Ne 102nd Ave, Building VPortland, OR 97220-4169 · (503) 257-3327 · Fax (503) 257-3374
Phone(503) 257-3327
Fax(503) 257-3374
Organization SubpartNo
Authorized OfficialChristy C HeitschOwner Administrative Director · (503) 257-3327
Enumeration DateMarch 6, 2007
Last NPPES UpdateFebruary 21, 2008
✔ NPI 1033249404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
163 NE 102ND AVE, Portland, OR 97220
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Other Identifiers 3

Medicare UPINA08050OR
Medicare PINR117633OR
Medicare PINDA9368OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSS CARUSO
Massage Therapist
163 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (847) 567-0474
MARTHA J SMITH LMT
Massage Therapist
163 NE 102ND AVE, BUILDING V
PORTLAND, OR 97220
Multnomah County (503) 257-3327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Medicine Group LLC's NPI number?

The NPI number for Integrated Medicine Group LLC is 1033249404. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Integrated Medicine Group LLC located?

Integrated Medicine Group LLC is located at 163 NE 102nd Ave Building V, Portland, OR 97220. The listed phone number is (503) 257-3327.

What is Integrated Medicine Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Integrated Medicine Group LLC was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.