ANTICO MEDICAL LLC
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1164344768- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 75 NW COUCH ST STE 300, PORTLAND, OR, 972094018
- Phone
- (614) 254-9761
Specialties & Taxonomies
Internal Medicine
Primary
Clinic/Center, Rehabilitation, Substance Use Disorder