Interstate Medical Group LLC
NPI 1932839776 · Medical Specialty Clinic/Center · Portland, OR
Interstate Medical Group LLC is a Medical Specialty Clinic/Center organization in Portland, OR (NPI 1932839776).
Provider details
- NPI number
- 1932839776
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Logiudice, Owner(503) 339-7351
Specialties & taxonomies
Ambulatory Health Care Facilities
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2022-08-24
- Certified
- 2022-08-24
Frequently asked questions
- What is Interstate Medical Group LLC's NPI number?
- Interstate Medical Group LLC's National Provider Identifier (NPI) is 1932839776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Interstate Medical Group LLC?
- Interstate Medical Group LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Interstate Medical Group LLC located?
- Interstate Medical Group LLC's practice location on file with NPPES is 17221 Se Division St, Portland, OR 97236-1240.
- What is Interstate Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Interstate Medical Group LLC is (503) 760-0778.
- Who is the authorized official for Interstate Medical Group LLC?
- The authorized official listed on Interstate Medical Group LLC's NPPES record is Michael Logiudice, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Interstate Medical Group LLC's NPI active?
- Yes — Interstate Medical Group LLC's NPI (1932839776) is active in the NPPES registry as of the last update on 2022-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.