Individual
DR. JAMES CHRISTOPHER AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PEDIATRIC UROLOGY CDW-6, PORTLAND, OR 97239
(503) 494-4808
(503) 494-4743
Mailing address
3181 SW SAM JACKSON PARK RD, PEDIATRIC UROLOGY CDW-6, PORTLAND, OR 97239
(503) 494-4808
(503) 494-4743
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
34484
IA
2088P0231X
Pediatric Urology Physician
Primary
MD29351
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260976
—
IA
01
—
44934
WELLMARK BC/BS
IA
Enumeration date
08/09/2005
Last updated
12/01/2011
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