Organization
V. JAMES MAKKER M.D.,M.B.A., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VISHAL JAMES MAKKER M.D. (CORPORATE PRESIDENT)
(503) 253-4000
Entity
Organization
Contact information
Practice address
5050 NE HOYT ST, 347, PORTLAND, OR 97213-2991
(503) 253-4000
(503) 253-4002
Mailing address
PO BOX 16130, PORTLAND, OR 97292-0130
(503) 808-9001
(503) 808-9002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD23879
OR
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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