Individual
REGINA CECELIA MYSLIWIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.S.
Contact information
Practice address
2111 EXCHANGE ST, COLUMBIA MEMORIAL HOSPITAL, ASTORIA, OR 97103-3329
(503) 325-4321
Mailing address
745 SW GAINES ST, DEPARTMENT OF EMERGENCY MEDICINE, PORTLAND, OR 97239-2901
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
171869
OR
207P00000X
Emergency Medicine Physician
263533
NY
Other
Enumeration date
05/26/2009
Last updated
07/23/2015
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