Organization
WESTSIDE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD A HOCHENEDEL M.D. (PRESIDENT)
(503) 297-5581
Entity
Organization
Contact information
Practice address
9155 SW BARNES RD, STE 205, PORTLAND, OR 97225-6625
(503) 297-5581
(503) 297-1421
Mailing address
9155 SW BARNES RD, STE 230, PORTLAND, OR 97225-6625
(503) 445-3235
(503) 790-2293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003335
REGENCE BLUE CROSS OF OR
OR
05
—
287766
—
OR
01
—
CT1677
RAILROAD MEDICARE/PALMETT
OR
Enumeration date
10/27/2006
Last updated
02/12/2008
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