Individual
MICHAEL VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD # 2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD197073
OR
207L00000X
Anesthesiology Physician
TRN23033
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD197073
OR
Other
Enumeration date
05/09/2016
Last updated
07/21/2022
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