Organization
VIYADA THONGOUTHAITHIP MD & CARMELINDO SIQUEIRA JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIYADA THONGOUTHAITHIP, M.D. M.D. (CARDIOLOGIST)
(503) 297-8491
Entity
Organization
Contact information
Practice address
9155 SW BARNES RD STE 310, PORTLAND, OR 97225-6630
(503) 297-8491
(503) 297-8492
Mailing address
9155 SW BARNES RD STE 310, PORTLAND, OR 97225-6630
(503) 297-8491
(503) 297-8492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD 12967
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279174
—
OR
Enumeration date
03/19/2008
Last updated
05/12/2014
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