NPI 1063570745 · live from the CMS NPI Registry
24 On Physicians PC
Internal Medicine in Oregon City, OR. National Provider Identifier 1063570745, active.
NPI record
| NPI | 1063570745 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1500 Division St, Oregon City, OR 97045 |
| Practice phone | 503-656-1631 |
| Mailing address | Po Box 403631, Atlanta, GA 30384 |
| Enumerated | December 5, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Dan Fuller, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.