Individual
DOUGLAS EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
KAISER SUNNYSIDE MEDICAL CENTER, 10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9764
(503) 813-2800
Mailing address
500 NE MULTNOMAH ST, SUITE 100, PORTLAND, OR 97232-2023
(503) 813-2800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD17783
OR
Other
Enumeration date
12/05/2005
Last updated
07/16/2007
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