Organization
NORTHWEST VEIN SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L JAMISON MD (SECRETARY/TREASURER)
(503) 352-0427
Entity
Organization
Contact information
Practice address
12400 NW CORNELL RD, SUITE 200, PORTLAND, OR 97229-5693
(503) 352-0427
Mailing address
515 NW SALTZMAN RD, PMB 916, PORTLAND, OR 97229-6098
(503) 352-0427
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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