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Individual

ROBERTO M. DECASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11750 SW BARNES ROAD, SUITE 300, PORTLAND, OR 97225-5911
(503) 416-9922
(503) 416-9971
Mailing address
11750 SW BARNES RD STE 300, PORTLAND, OR 97225-5911
(503) 416-9922
(503) 416-9971

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
7040
HI
207V00000X
Obstetrics & Gynecology Physician
G65977
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD17433
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029905
OR
Enumeration date
07/06/2006
Last updated
11/13/2025
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