Individual
SANDIP BISWAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1122
Mailing address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1122
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
72642-20
WI
Other
Enumeration date
04/28/2017
Last updated
02/16/2022
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