Individual
DR. DAVID S. PEIZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N GRAHAM ST., SUITE 200, PORTLAND, OR 97227
(503) 413-7162
(503) 413-4711
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
BP1548392
OR
207RI0011X
Interventional Cardiology Physician
Primary
MD24393
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245235233
—
WA
05
—
158515
—
OR
01
—
804330013
BLUE CROSS BLUE SHIELD
OR
Enumeration date
06/16/2005
Last updated
02/01/2017
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