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MT. TABOR FAMILY MEDICAL GROUP, P.C.
NPI 1548416944
Non-Pharmacy Dispensing Site in Portland, OR

Active since August 18, 2008
5919 SE BELMONT ST, PORTLAND, OR 97215(503) 234-7366 Get Directions Write a Review

NPPES record last updated: July 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mt. Tabor Family Medical Group, P.c. NPPES

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

MT. TABOR FAMILY MEDICAL GROUP, P.C. (NPI 1548416944) is a healthcare organization registered as a non-pharmacy dispensing site in Portland, Oregon and active in the NPI registry since August 2008. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1548416944
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameMT. TABOR FAMILY MEDICAL GROUP, P.C.
Location Address5919 SE BELMONT STPortland, OR 97215-1925
Mailing Address5810 Nancy Ridge Dr, 100San Diego, CA 92121-2834
Phone(503) 234-7366
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateAugust 18, 2008
Last NPPES UpdateJuly 2, 2010
✔ NPI 1548416944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in OR · MD12668
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
5919 SE BELMONT ST, Portland, OR 97215
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Other Providers at the Same Location NPPES 4

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

MS. SUSAN WADE CATO ANP
Nurse Practitioner (Adult Health)
5919 SE BELMONT ST
PORTLAND, OR 97215
Multnomah County (503) 234-7366
DR. TEDD LEVIN M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
5919 SE BELMONT ST
PORTLAND, OR 97215
Multnomah County (503) 234-7366
MT. TABOR FAMILY MEDICAL GROUP, PC
Clinic/Center
5919 SE BELMONT ST
PORTLAND, OR 97215
Multnomah County (503) 234-7366
ANNA URBANC PA-C
Physician Assistant
5919 SE BELMONT ST
PORTLAND, OR 97215
Multnomah County (503) 234-7366

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 Mt. Tabor Family Medical Group, P.C.'s NPI number?

The NPI number for Mt. Tabor Family Medical Group, P.C. is 1548416944. It was assigned to this organization in the NPPES registry on August 18, 2008.

Where is Mt. Tabor Family Medical Group, P.C. located?

Mt. Tabor Family Medical Group, P.C. is located at 5919 SE Belmont St, Portland, OR 97215. The listed phone number is (503) 234-7366.

What is Mt. Tabor Family Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Mt. Tabor Family Medical Group, P.C. was last updated on July 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.