Individual
JUAN A. PIANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
(503) 249-5286
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
(503) 249-5286
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LP01034
RI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
125056270
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD166936
OR
Other
Enumeration date
06/01/2007
Last updated
06/24/2014
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