MEDICARE: INGEBORG HINDEL MD

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	207Q00000X	Family Medicine Physician	MD20704	OR

General Provider Information

NPI Number	:	1487600987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INGEBORG HINDEL MD

Provider Business Mailing Address
First Line	:	3056 NE OREGON ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2450
Country	:	US
Telephone Number	:	971-227-0560
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 NW PETTYGROVE ST STE 110
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97210-2659
Country	:	US
Telephone Number	:	971-227-0560
Fax Number	:

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

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	01/11/2024

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