MEDICARE: DR. MICHAEL HELMY TEWFIK M.D.

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
1	207R00000X	Internal Medicine Physician	MD21985	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215903331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL HELMY TEWFIK M.D.

Provider Business Mailing Address
First Line	:	300 N GRAHAM ST
Second Line	:	SUITE 200
City	:	PORTLAND
State	:	OR
Zip	:	97227-1683
Country	:	US
Telephone Number	:	503-413-4134
Fax Number	:	503-413-1895

Provider Business Practice Location Address
First Line	:	300 N GRAHAM ST
Second Line	:	SUITE 200
City	:	PORTLAND
State	:	OR
Zip	:	97227-1683
Country	:	US
Telephone Number	:	503-413-4134
Fax Number	:	503-413-1895

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	07/18/2007

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