Organization
OREGON CARDIOLOGY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD MARVIN GOLDBERG MD (PRESIDENT)
(503) 288-8385
Entity
Organization
Contact information
Practice address
501 N GRAHAM ST, SUITE 400, PORTLAND, OR 97227-2006
(503) 288-8385
(503) 288-6789
Mailing address
501 N GRAHAM ST, SUITE 400, PORTLAND, OR 97227-2006
(503) 288-8385
(503) 288-6789
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD05410
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074286
—
OR
Enumeration date
08/23/2006
Last updated
08/22/2020
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