Organization
MICHAEL D MONETA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEAN MONETA MD (OWNER)
(503) 297-7223
Entity
Organization
Contact information
Practice address
11782 SW BARNES RD, BLDG C #200, PORTLAND, OR 97225
(503) 906-4300
(503) 906-4333
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2755
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD18011
OR
Other
Enumeration date
03/21/2006
Last updated
03/24/2011
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