Individual
JAMES MARK BERTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3325 N INTERSTATE AVE, DEPT OF PAIN MEDICINE, PORTLAND, OR 97227-1020
(503) 331-6131
Mailing address
3325 N INTERSTATE AVE, DEPT OF PAIN MEDICINE, PORTLAND, OR 97227-1020
(503) 331-6131
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
45911
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
A94417
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD27813
OR
Other
Enumeration date
07/21/2006
Last updated
12/31/2012
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