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Individual

DR. ORLANDO ROMAN ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10300 SW EASTRIDGE ST, PORTLAND, OR 97225-5004
(503) 944-5000
Mailing address
10300 SW EASTRIDGE ST, PORTLAND, OR 97225-5004
(503) 944-5000
(503) 535-7370

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD201294
OR
2084P0804X
Child & Adolescent Psychiatry Physician
MD201294
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500747940
OR
Enumeration date
05/13/2013
Last updated
03/22/2021
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