Integrated Medicine Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTEGRATED MEDICINE GROUP LLC

Practice address

163 NE 102ND Ave
Building V
Portland, OR 97220-4169

Phone

(503) 257-3327

Fax

(503) 257-3374

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christy C Heitsch

Title

Owner Administrative Director

Phone

(503) 257-3327

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martha J Smith, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1861727661
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1033249404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 NE 102ND AVE",
            "address_2": "BUILDING V",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204169",
            "telephone_number": "503-257-3327",
            "fax_number": "503-257-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 NE 102ND AVE",
            "address_2": "BUILDING V",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204169",
            "telephone_number": "503-257-3327",
            "fax_number": "503-257-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "HEITSCH",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "503-257-3327"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integral Health PC
• Integrate Health & Wellness: PDX, LLC
• Integrate This LLC
• Integrated Health Clinics NE LLC
• Integrated Massage by Andrea
• Integrated Medicine Group LLC
• Integrated Psychological Services of the Pacific Northwest
• Integrated Rehabiliation
• Integrated Self Counseling LLC
• Integrative Chiropractic & Wellness Spa, LLC

• General Practice Physician in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.