Individual
JOSE EDUARDO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
700 NE 87TH AVE STE 270, VANCOUVER, WA 98664-4896
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD61407887
WA
208M00000X
Hospitalist Physician
MD470853
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2017
Last updated
09/20/2023
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