Individual
JULIAN PONSETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 418-5704
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
275463
MA
208000000X
Pediatrics Physician
Primary
MD210274
OR
Other
Enumeration date
05/29/2018
Last updated
11/22/2023
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