Individual
DR. ROBERT F. DEMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 418-0990
(503) 494-4982
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 418-0990
(503) 494-4982
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A93713
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD173366
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A937130
—
CA
Enumeration date
07/02/2006
Last updated
12/02/2015
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