Individual
DR. RICHARD B ISMACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE CDW-EM, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD25393
OR
207R00000X
Internal Medicine Physician
MD25393
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00816483B
—
GA
05
—
041178
—
OR
05
—
8228769
—
WA
Enumeration date
06/09/2005
Last updated
03/03/2021
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