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Active NPI 1558354522 Organization (Entity Type 2)

Mth Clinic Pc

Internal Medicine • Gresham, OR

About Mth Clinic Pc NPI 1558354522 Summary

Mth Clinic Pc is a verified healthcare organization specializing in Internal Medicine operating in Gresham, OR. Located at 24988 SE STARK ST, STE 300, this facility provides patient care and medical services under National Provider Identifier (NPI) 1558354522.

Administrative operations and authorized compliance are overseen by Fayyaz Mahmood (Ceo).

The facility is associated with 7 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

24988 Se Stark St
Ste 300

Gresham, OR 970308322

Telephone 5036745818
Fax 5036746709

Authorized Official Information

Authorized Contact Name

DR. Fayyaz Mahmood , MD

Title / Role

Ceo

Official Telephone

5036745818

Facility Classifications & Specialties

Internal Medicine Primary Taxonomy

NUCC Taxonomy Code: 207R00000X

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

7 Linked

Internal Medicine

Gresham, OR

View Practitioner Profile →

Hospitalist

Gresham, OR

View Practitioner Profile →

Internal Medicine

Gresham, OR

View Practitioner Profile →
Dr. Ted Huang , MD NPI 1356469902

Internal Medicine - Hematology & Oncology

Gresham, OR

View Practitioner Profile →

Internal Medicine

Gresham, OR

View Practitioner Profile →

Internal Medicine

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

7 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Internal Medicine

NPI Profile Active April 20, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 20, 2008

Registered at 24988 SE STARK ST, STE 300, GRESHAM, OR 970308322 (Tel: 5036745818)

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Updated Business Mailing Address April 20, 2008

Registered at 24988 SE STARK ST, STE 300, GRESHAM, OR 970308322 (Tel: 5036745818)

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Organization / Clinic Name Updated April 20, 2008

Operating as MTH CLINIC PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2008

Internal Medicine (License #========= in OR)

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Initial NPI Registration & Enumeration August 25, 2005

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1558354522
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 25, 2005
Last Update: July 21, 2022

Mailing Address

24988 Se Stark St, Ste 300

Gresham, OR 970308322

Phone: 5036745818

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.