Individual
DR. ANTHONY SANTO LADOGANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24800 SE STARK ST, MOUNT HOOD HOSPITAL, GRESHAM, OR 97030-3378
(503) 674-1391
Mailing address
24800 SE STARK ST, MOUNT HOOD HOSPITAL, GRESHAM, OR 97030-3378
(503) 674-1535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD24648
OR
208M00000X
Hospitalist Physician
MD24648
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227476
—
OR
Enumeration date
02/21/2006
Last updated
03/23/2011
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