George C Mejicano MD

NPI 1083680979 - Internal Medicine - 207RI0200X

NPI Details
NPI 1083680979
Gender Male
Enumeration Date 02/28/2006
Last Updated 08/27/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 494-0924
Fax
Business Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone
Fax
Toxanomy
Taxonomy Code 207RI0200X
License State Oregon
License Number MD159050
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According to our database, Dr. George C Mejicano MD NPI is 1083680979, taxonomy code is 207RI0200X and license number is MD159050, license state is located at Oregon. George C Mejicano MD physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number George C Mejicano MD has the Individual type.

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1083680979 NPI number is provided on an as is basis without warranty of any kind. 1083680979 is maintained by the National Plan & Provider Enumeration System. The contents of George C Mejicano MD are for informational purposes only.