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NPI Code Detail

MEDICARE: CPM MEDICINE LLC

MEDICARE: CPM MEDICINE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1194399899
Entity Type Code : Organization
Provider Name (Legal Business Name) : CPM MEDICINE LLC
Provider Business Mailing Address
First Line : 2743 NE 14TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97212-3202
Country : US
Telephone Number : 503-453-2941
Fax Number :
Provider Business Practice Location Address
First Line : 2027 NE FLANDERS ST
Second Line :
City : PORTLAND
State : OR
Zip : 97232-3372
Country : US
Telephone Number : 503-453-2941
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SETH MEHR
Credential : MD
Telephone Number : 503-453-2941
Provider Enumeration Date : 05/17/2021
Last Update Date : 09/16/2021

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Directions to “CPM MEDICINE LLC ” Practice Location

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