Individual
DR. DONALD GARY RISCHITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9370 SW GREENBURG RD, SUITE 101, PORTLAND, OR 97223-5442
(503) 246-7030
(503) 246-0429
Mailing address
9370 SW GREENBURG RD, SUITE 101, PORTLAND, OR 97223-5442
(503) 246-7030
(503) 246-0429
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
MD15703
OR
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
MD15703
OR
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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