Individual
DR. ERIC J MACEVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., MBA
Contact information
Practice address
19875 SW 65TH AVE STE 100, TUALATIN, OR 97062-8353
(503) 692-7785
Mailing address
PO BOX 6689, PORTLAND, OR 97228-6689
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD173713
OR
Other
Enumeration date
05/24/2012
Last updated
07/14/2023
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