Individual
DR. TODD GUENZBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, STE BG05, PORTLAND, OR 97213-2933
(503) 215-2392
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00044947
WA
207R00000X
Internal Medicine Physician
MD16622
OR
208M00000X
Hospitalist Physician
Primary
MD16622
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054085
—
OR
Enumeration date
02/19/2006
Last updated
06/18/2021
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