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Individual

DR. AMIT KANSARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9135 SW BARNES RD, STE 461, PORTLAND, OR 97225-6646
(503) 216-1150
(971) 282-0086
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
109124
AK
2084N0400X
Neurology Physician
35025
MT
2084N0400X
Neurology Physician
A139626
CA
2084N0400X
Neurology Physician
MD156852
OR
2084N0400X
Neurology Physician
MD60264462
WA
2084V0102X
Vascular Neurology Physician
Primary
MD156852
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500645487
OR
01
P01889829
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
05/14/2008
Last updated
11/25/2022
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