# MICHAEL D MONETA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356300925
- **Authorized official:** MICHAEL DEAN MONETA MD (OWNER)
- **Authorized official phone:** (503) 297-7223

## Contact information

- **Practice address:** 11782 SW BARNES RD, BLDG C \#200, PORTLAND, OR 97225
- **Practice address phone:** (503) 906-4300
- **Practice address fax:** (503) 906-4333
- **Mailing address:** PO BOX 4008, PORTLAND, OR 97208-4008
- **Mailing address phone:** (503) 372-2740
- **Mailing address fax:** (503) 372-2755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD18011 | OR | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 03/24/2011