Robert J. Vissers MD

NPI 1639192305 - Emergency Medicine - 207P00000X

NPI Details
NPI 1639192305
Gender Male
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2801 N GANTENBEIN AVE
PORTLAND OR, 97227-1623, US
Phone (503) 413-4121
Fax
Business Location
6312 SW CAPITOL HWY
#502
PORTLAND OR, 97239-1938, US
Phone (503) 464-9034
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Oregon
License Number MD25463
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According to our database, Robert J. Vissers MD NPI is 1639192305, taxonomy code is 207P00000X and license number is MD25463, license state is located at Oregon. Robert J. Vissers MD physically located at 2801 N Gantenbein Ave, Portland OR, 97227-1623. NPI Number Robert J. Vissers MD has the Individual type.

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1639192305 NPI number is provided on an as is basis without warranty of any kind. 1639192305 is maintained by the National Plan & Provider Enumeration System. The contents of Robert J. Vissers MD are for informational purposes only.