Individual
MARCELA RIVEROS ANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8276
(503) 494-2025
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
248332
MA
207ZP0101X
Anatomic Pathology Physician
Primary
MD203346
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089746A
—
MA
Enumeration date
04/16/2007
Last updated
06/20/2024
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