Individual
DR. SERGIO MANUEL CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9701 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-6772
(503) 297-8081
(503) 292-6601
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT186045
PA
207RG0100X
Gastroenterology Physician
Primary
MD154326
OR
207RG0100X
Gastroenterology Physician
ME101345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028702
—
WA
05
—
500636652
—
OR
Enumeration date
08/20/2007
Last updated
11/18/2024
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