Charles Kristian Enestvedt in Portland - Transplant Surgery

Charles Kristian Enestvedt - NPI 1962612283

Charles Kristian Enestvedt is a Transplant Surgery in Portland, Oregon. Charles Kristian Enestvedt practices all healthcare services and medical treatments related to Transplant Surgery. The NPI Number for Charles Kristian Enestvedt is 1962612283. The last update date is 2010-07-21.

Charles Kristian Enestvedt's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034948592. The mailing address for Charles Kristian Enestvedt is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Kristian Enestvedt
Address 3181 Sw Sam Jackson Park Rd, Portland, Oregon
Phone Number 5034948592
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1962612283
Provider Enumeration Date 2007-05-23
Last Updated Date 2010-07-21

Provider Mailing Address Detail

Address 3181 Sw Sam Jackson Park Rd
City Portland
State Oregon (OR)
Post Code 972393011
Phone Number 5034948592
Fax Number

Provider's Primary Taxonomy Detail

Speciality Transplant Surgery
Taxonomy 204F00000X
Licence No MD151458
Definition:
A surgeon who specializes in transplant surgery.

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FAQs about Charles Kristian Enestvedt

What is the Charles Kristian Enestvedt's 1962612283?

The Charles Kristian Enestvedt's NPI (National Provider Identifier) Number is 1962612283. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Charles Kristian Enestvedt is located?

The Charles Kristian Enestvedt is situated at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393011.

What is Charles Kristian Enestvedt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Charles Kristian Enestvedt is Transplant Surgery, and the taxonomy code that categorizes this field of expertise is 204F00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1962612283 to Charles Kristian Enestvedt?

The Centers for Medicare & Medicaid Services assigned the 1962612283 to Charles Kristian Enestvedt on 2007-05-23.

As of what date was the information pertaining to Charles Kristian Enestvedt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Charles Kristian Enestvedt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-21.

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