Individual
JOSEPH SIEMIENCZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT ST, SUITE 454, PORTLAND, OR 97213-2991
(503) 215-6405
(503) 215-6429
Mailing address
PO BOX 13994, PORTLAND, OR 97213-0994
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD12852
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110242831
RR MEDICARE
OR
Enumeration date
07/08/2006
Last updated
06/13/2008
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