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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANTICO MEDICAL LLC
NPI 1164344768
Internal Medicine in Portland, OR

Active since July 27, 2026
75 NW COUCH ST STE 300, PORTLAND, OR 97209(614) 254-9761 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antico Medical Llc NPPES

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

ANTICO MEDICAL LLC (NPI 1164344768), doing business as Mel's House Of Healing, is a healthcare organization registered as an internal medicine in Portland, Oregon and active in the NPI registry since July 2026. The organization lists Jida Hubana, President, as its authorized official.

NPPES Registry Identity

NPI1164344768
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANTICO MEDICAL LLC
Location Address75 NW COUCH ST STE 300Portland, OR 97209-4018
Mailing Address75 Nw Couch St Ste 300Portland, OR 97209-4018 · (614) 254-9761
Phone(614) 254-9761
Organization SubpartNo
Authorized OfficialJida HubanaPresident · (614) 254-9761
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1164344768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
75 NW COUCH ST STE 300, Portland, OR 97209
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Other Names 1

Doing Business AsMel's House Of Healing

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

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 Antico Medical LLC's NPI number?

The NPI number for Antico Medical LLC is 1164344768. It was assigned to this organization in the NPPES registry on July 27, 2026. The provider is doing business as Mel's House of healing.

Where is Antico Medical LLC located?

Antico Medical LLC is located at 75 NW Couch St Ste 300, Portland, OR 97209. The listed phone number is (614) 254-9761.

What is Antico Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Antico Medical LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.