Individual
RENEE K DVERSDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, BTE119 OHSU,, PORTLAND, OR 97239-3098
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, BTE119 OHSU,, PORTLAND, OR 97239-3098
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD157331
OR
Other
Enumeration date
06/11/2009
Last updated
08/07/2013
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