Individual
MR. MICHAEL D MONETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11782 SW BARNES RD, BLDG C #200, PORTLAND, OR 97225
(503) 906-4300
(503) 906-4333
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2755
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD18011
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051453
—
OR
01
—
840285000
REGENCE BCBSO
OR
Enumeration date
03/14/2006
Last updated
03/24/2011
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