Bert G Tavelli MD

NPI 1013918978 - Dermatology - 207N00000X

NPI Details
NPI 1013918978
Gender Male
Enumeration Date 08/02/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1130 NW 22ND AVE
STE 330
PORTLAND OR, 97210-2900, US
Phone (503) 295-2366
Fax (503) 295-3065
Business Location
1130 NW 22ND AVE
STE 330
PORTLAND OR, 97210-2900, US
Phone (503) 295-2366
Fax (503) 295-3065
Toxanomy
Taxonomy Code 207N00000X
License State Oregon
License Number MD 14681
Remove 1013918978 NPI Number
 

According to our database, Bert G Tavelli MD NPI is 1013918978, taxonomy code is 207N00000X and license number is MD 14681, license state is located at Oregon. Bert G Tavelli MD physically located at 1130 Nw 22nd Ave, Portland OR, 97210-2900. NPI Number Bert G Tavelli MD has the Individual type.

Sponsored links

1013918978 NPI number is provided on an as is basis without warranty of any kind. 1013918978 is maintained by the National Plan & Provider Enumeration System. The contents of Bert G Tavelli MD are for informational purposes only.