Individual
CLARISA BORREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3710 US VETERANS HOSPITAL RD, PVAMC, PORTLAND, OR 97239
(503) 220-8262
Mailing address
PO BOX 1034, PVAMC, PORTLAND, OR 97207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18351
OR
Other
Enumeration date
06/27/2006
Last updated
07/12/2007
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