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Individual

ROBERT C LIVINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
75 NW COUCH ST, PORTLAND, OR 97209-4018
(505) 577-3037
Mailing address
75 NW COUCH ST, PORTLAND, OR 97209-4018
(505) 577-3037

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2001-242
NM
207R00000X
Internal Medicine Physician
Primary
MD160568
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
68583851
NM
Enumeration date
03/02/2007
Last updated
03/14/2016
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