Mt. Tabor Family Medical Group, P.c.
Non-pharmacy Dispensing Site
5919 Se Belmont St, Portland
Oregon, 97215-1925
503-234-7366 Mt. Tabor Family Medical Group, P.c. is a Non-pharmacy Dispensing Site in Portland, Oregon. This organization is also known as sub part of Medvantx, Inc.. It is located at 5919 Se Belmont St, Portland and it's customer support contact number is 503-234-7366. The authorized person of Mt. Tabor Family Medical Group, P.c. is Kenny Heine who is Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Mt. Tabor Family Medical Group, P.c. is MD12668 for Non-pharmacy Dispensing Site in Oregon.
Mt. Tabor Family Medical Group, P.c. is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Mt. Tabor Family Medical Group, P.c. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mt. Tabor Family Medical Group, P.c. |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 5919 Se Belmont St, Portland,
Oregon, 97215-1925 |
| Phone: | 503-234-7366 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Director Of Operations |
| Contact Number: | 858-625-2990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1548416944 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 18 Aug, 2008 |
| NPI Last Update On: | 02 Jul, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mt. Tabor Family Medical Group, P.c. are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | MD12668 | Oregon | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5810 Nancy Ridge Dr, 100
San Diego, California |
| Zip: | 92121-2834 |
| Phone Number: | -- |
Patients can reach Mt. Tabor Family Medical Group, P.c. at
5919 Se Belmont St, Portland, Oregon or can
call on customer care at 503-234-7366.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.