Organization
DAVID J SARGENT, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAMES SARGENT MD (OWNER)
(503) 261-2977
Entity
Organization
Contact information
Practice address
10101 SE MAIN ST, SUITE 2015, PORTLAND, OR 97216-2455
(503) 261-2977
(503) 261-0156
Mailing address
10101 SE MAIN ST, SUITE 2015, PORTLAND, OR 97216-2455
(503) 261-2977
(503) 261-0156
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD12584
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226134
—
OR
Enumeration date
07/01/2008
Last updated
07/01/2008
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