Organization
NORTHWEST ACUTE CARE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOHN VISSERS M.D. (PRESIDENT)
(503) 464-9034
Entity
Organization
Contact information
Practice address
825 NE MULTNOMAH ST, SUITE 1155, PORTLAND, OR 97232-2135
(503) 464-9034
(503) 464-9035
Mailing address
PO BOX 11810, WESTMINSTER, CA 92685-1810
(562) 809-3540
(562) 468-0504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168662
—
OR
05
—
241914
—
OR
05
—
7088305
—
WA
Enumeration date
05/25/2006
Last updated
08/23/2011
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