Ivan Luis Sandoz MD

NPI 1073506200 - Urology - 208800000X

NPI Details
NPI 1073506200
Gender Male
Enumeration Date 08/23/2005
Last Updated 09/24/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
5050 NE HOYT ST
SUITE 514
PORTLAND OR, 97213-2991, US
Phone (503) 488-2323
Fax (503) 488-2340
Business Location
847 NE 19TH AVE
SUITE 300
PORTLAND OR, 97232-2684, US
Phone (503) 963-2801
Fax (503) 963-2825
Toxanomy
Taxonomy Code 208800000X
License State Oregon
License Number MD05957
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According to our database, Ivan Luis Sandoz MD NPI is 1073506200, taxonomy code is 208800000X and license number is MD05957, license state is located at Oregon. Ivan Luis Sandoz MD physically located at 5050 Ne Hoyt St, Portland OR, 97213-2991. NPI Number Ivan Luis Sandoz MD has the Individual type.

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1073506200 NPI number is provided on an as is basis without warranty of any kind. 1073506200 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Luis Sandoz MD are for informational purposes only.