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Individual

AMNON SONNENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND VA MEDICAL CENTER, P3-GI, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 220-3426
Mailing address
3710 SW US VETERANS HOSPITAL RD, PORTLAND VA MEDICAL CENTER, P3-GI, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 220-3426

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
LL16137
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227422
OR
Enumeration date
07/31/2006
Last updated
07/13/2007
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