Individual
DR. MYLES P STANDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST, STE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD16760
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040969
—
OR
05
—
1083328
—
WA
01
—
P00611181
RR MEDICARE
OR
Enumeration date
08/01/2006
Last updated
10/19/2018
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