Individual
RENAT GARIFULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4314
(503) 346-6810
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4314
(503) 346-6810
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MF231320
OR
207T00000X
Neurological Surgery Physician
Primary
P130411
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2024
Last updated
08/15/2026
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