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INTEGRATED MEDICINE GROUP LLC
NPI 1679508212
General Practice in Portland, OR

Active since July 12, 2006
163 NE 102ND AVE BLDG V, PORTLAND, OR 97220(503) 257-3327(503) 257-3374 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 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 1679508212) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since July 2006. The organization lists Christy Heitsch, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1679508212
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED MEDICINE GROUP LLC
Location Address163 NE 102ND AVE BLDG VPortland, OR 97220-4169
Mailing Address163 Ne 102nd Ave Bldg VPortland, OR 97220-4169 · (503) 257-3327 · Fax (503) 257-3374
Phone(503) 257-3327
Fax(503) 257-3374
Organization SubpartNo
Authorized OfficialChristy HeitschClinic Director · (503) 257-3327
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 22, 2008
✔ NPI 1679508212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OR · MD11610
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 BLDG V, Portland, OR 97220
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Other Identifiers 1

Medicare PINR117633OR

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 Integrated Medicine Group LLC's NPI number?

The NPI number for Integrated Medicine Group LLC is 1679508212. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Integrated Medicine Group LLC located?

Integrated Medicine Group LLC is located at 163 NE 102nd Ave Bldg 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 January 22, 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.