Individual
DR. EUGENE LLOYD HIEBERT
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) 494-7641
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD., MAIL CODE SJH-2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD13083
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD13083
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284117
—
OR
Enumeration date
07/07/2006
Last updated
02/13/2017
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