Individual
DR. JOHN H. DEGENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 2040, PORTLAND, OR 97208-2040
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO16501
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010251
—
OR
01
—
050056535
RR MEDICARE
OR
05
—
1058940
—
WA
05
—
MD701OR
—
AK
05
—
XPY188986
—
CA
Enumeration date
02/17/2006
Last updated
09/09/2013
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