Individual
DR. CLIFFORD STEVEN CANEPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT ST, SUITE 422, PORTLAND, OR 97213-2991
(503) 488-2345
(503) 488-2350
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD13909
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008735
—
OR
Enumeration date
10/20/2005
Last updated
09/25/2013
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