Basic Information
| Provider Information | |||||||||
| NPI: | 1801914700 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DEPATMENT OF ANESTHESIOLOGY AND PERIOPERATIVE MEDICINE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4284 NW SILVERLEAF DR | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972292368 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5034949000 | ||||||||
| FaxNumber: | 5034180884 | ||||||||
| Practice Location | |||||||||
| Address1: | 3181 SW SAM JACKSON PARK RD | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972393011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5034949000 | ||||||||
| FaxNumber: | 5034180884 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2007 | ||||||||
| LastUpdateDate: | 08/08/2008 | ||||||||
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| AuthorizedOfficialLastName: | DAS | ||||||||
| AuthorizedOfficialFirstName: | ASISH | ||||||||
| AuthorizedOfficialMiddleName: | KUMAR | ||||||||
| AuthorizedOfficialTitleorPosition: | ASSISTANT PROFESSOR | ||||||||
| AuthorizedOfficialTelephone: | 5034949000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 284300000X | MD22750 | OR | Y | Hospitals | Special Hospital |
No ID Information.