Individual
DAVID A KANTOROWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 NW ELKS DR, CORVALLIS, OR 97330-3757
(541) 768-7722
(541) 768-4685
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
12706C
WY
2085R0001X
Radiation Oncology Physician
35.135193
OH
2085R0001X
Radiation Oncology Physician
Primary
MD151974
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343684
—
OH
05
—
1123314
—
WA
01
—
8776KA
REGENCE BC/BS
WA
Enumeration date
08/13/2006
Last updated
02/22/2022
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