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City Of Portland Maine

Clinic/Center, Public Health, State or Local in Portland, ME. Organization (NPI-2).

NPI number1881908291
StatusActive
Last updated in NPPESOct 6, 2015

Details

NPI
1881908291
Entity type
Organization (NPI-2)
Legal business name
City Of Portland Maine
Organization subpart
No
Enumeration date
Jul 28, 2010
Last updated
Oct 6, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP0905X Clinic/Center, Public Health, State or Local20D0680735MEYes

Practice location

103 India St
Portland, ME 04101-4211

Phone 207-874-8446 · Fax 207-756-8087

Mailing address

389 Congress St
Room 307
Portland, ME 04101-3566

Phone 207-874-8784 · Fax 297-874-8913

Authorized official

Jon P Jennings
City Manager
2078748689

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