OrganizationActive
Integrated Medicine Group LLC
NPI 1033249404 · General Practice Physician · Portland, OR
Provider details
- NPI number
- 1033249404
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christy Heitsch, Owner Administrative Director(503) 257-3327
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
163 Ne 102nd Ave
Building V
Portland, OR 97220-4169
Phone: (503) 257-3327
Fax: (503) 257-3374
Street-level locationGet directions
Mailing address
163 Ne 102nd Ave
Portland, OR 97220-4169
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2008-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.