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NPI Code Detail

MEDICARE: JOHN PHILIP MUENCH MD

MEDICARE: JOHN PHILIP MUENCH 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
1207Q00000XFamily Medicine PhysicianMD19563OR

Other Identifiers

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

General Provider Information

NPI Number : 1568470029
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN PHILIP MUENCH MD
Provider Business Mailing Address
First Line : 6819 SE 34TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-8211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12121 E BURNSIDE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97216-3737
Country : US
Telephone Number : 971-361-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 08/25/2023

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