Organization
JOHN AUSTIN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHARLES AUSTIN MD (PHYSICIAN)
(503) 922-3342
Entity
Organization
Contact information
Practice address
9746 NW MARING DR, PORTLAND, OR 97229-5276
(503) 922-3342
Mailing address
9746 NW MARING DR, PORTLAND, OR 97229-5276
(503) 922-3342
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD26733
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD26733
OR
Other
Enumeration date
08/09/2006
Last updated
01/21/2010
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