Healthcare Provider Details

I. General information

NPI: 1841461803
Provider Name (Legal Business Name): APOGEE MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2008
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 EXCHANGE ST
ASTORIA OR
97103-3329
US

IV. Provider business mailing address

PO BOX 708850
SANDY UT
84070-8850
US

V. Phone/Fax

Practice location:
  • Phone: 503-338-4093
  • Fax:
Mailing address:
  • Phone: 866-869-2395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN J HARWELL
Title or Position: CFO
Credential:
Phone: 602-778-3600