Vicente Jose Undurraga Perl M.D.

NPI 1083931067 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1083931067
Gender Male
Enumeration Date 04/29/2010
Last Updated 04/29/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 494-8211
Fax
Business Location
4244 SPRUCE ST FL 1
PHILADELPHIA PA, 19104-4084, US
Phone (215) 688-6247
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Vicente Jose Undurraga Perl M.D. NPI is 1083931067, taxonomy code is 390200000X Vicente Jose Undurraga Perl M.D. physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Vicente Jose Undurraga Perl M.D. has the Individual type.

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1083931067 NPI number is provided on an as is basis without warranty of any kind. 1083931067 is maintained by the National Plan & Provider Enumeration System. The contents of Vicente Jose Undurraga Perl M.D. are for informational purposes only.