Individual
DR. KAYVAN ROAYAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, L590, PORTLAND, OR 97239-3011
(415) 425-2265
Mailing address
3181 SW SAM JACKSON PARK RD, L590, PORTLAND, OR 97239
(415) 425-2265
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
A78752
CA
208600000X
Surgery Physician
A78752
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A787520
—
CA
Enumeration date
07/06/2006
Last updated
09/28/2010
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