Individual
HAGOP SARKISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2090 NE WYATT CT STE 101, BEND, OR 97701-7691
(541) 382-6447
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
(541) 706-2398
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
37937
SC
208800000X
Urology Physician
Primary
MD190807
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500758709
—
OR
Enumeration date
04/10/2009
Last updated
01/29/2022
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