Individual
DR. ISSAC ROBERT SCHWANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PG198892
OR
Other
Enumeration date
04/22/2020
Last updated
04/24/2020
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