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Organization

IVANHOE B. HIGGINS, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVANHOE B HIGGINS MD (PRESIDENT)
(503) 231-1426
Entity
Organization

Contact information

Practice address
5050 NE HOYT ST STE 640, PORTLAND, OR 97213-2990
(503) 231-1426
(503) 231-0316
Mailing address
5050 NE HOYT ST STE 640, PORTLAND, OR 97213-2990
(503) 231-1426
(503) 231-0316

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD10608
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
238832
OR
Enumeration date
03/30/2010
Last updated
03/30/2010
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