Individual
DR. CARL D VEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 NE 47TH AVE STE 215, PORTLAND, OR 97213-2237
(503) 731-2900
(503) 238-8710
Mailing address
5050 NE HOYT ST, STE 625, PORTLAND, OR 97213-2991
(503) 731-2900
(503) 238-8710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD27537
OR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD27537
OR
Other
Enumeration date
02/10/2007
Last updated
11/09/2015
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