Individual
DR. DEJAN MILORAD DORDEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
545 NE 47TH AVE STE 301, PORTLAND, OR 97213-2287
(503) 231-7622
Mailing address
545 NE 47TH AVE STE 301, PORTLAND, OR 97213-2287
(503) 231-7622
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
MD10741
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263046
—
OR
Enumeration date
01/10/2007
Last updated
07/08/2007
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