Andris Antoniskis MD

NPI 1528067972 - Internal Medicine - 207RA0401X

NPI Details
NPI 1528067972
Gender Male
Enumeration Date 07/19/2005
Last Updated 11/07/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
5228 NE HOYT ST
BLDG B, 3RD FLOOR
PORTLAND OR, 97213-3055, US
Phone (503) 215-2584
Fax (503) 215-1524
Business Location
PO BOX 3158
PORTLAND OR, 97208-3158, US
Phone (503) 215-6494
Fax (503) 215-6644
Toxanomy
Taxonomy Code 207RA0401X
License State Oregon
License Number MD10115
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According to our database, Andris Antoniskis MD NPI is 1528067972, taxonomy code is 207RA0401X and license number is MD10115, license state is located at Oregon. Andris Antoniskis MD physically located at 5228 Ne Hoyt St, Portland OR, 97213-3055. NPI Number Andris Antoniskis MD has the Individual type.

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1528067972 NPI number is provided on an as is basis without warranty of any kind. 1528067972 is maintained by the National Plan & Provider Enumeration System. The contents of Andris Antoniskis MD are for informational purposes only.