Individual
DR. VICTOR MANUEL SANDOVAL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7810
(503) 494-8671
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7810
(503) 494-8671
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.127185
OH
208600000X
Surgery Physician
Primary
MD191751
OR
Other
Enumeration date
04/09/2012
Last updated
08/31/2021
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