Individual
JOHN PAUL IGUIDBASHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD, SUITE 240, PORTLAND, OR 97225-6625
(503) 296-4027
(503) 216-2488
Mailing address
9155 SW BARNES RD, SUITE 240, PORTLAND, OR 97225-6625
(503) 296-4027
(503) 216-2488
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD19303
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069927
—
OR
Enumeration date
09/12/2006
Last updated
10/24/2007
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