Individual
SAMUEL RICARDO TORRES LANDA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD. L-579, PORTLAND, OR 97239
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD. L-579, PORTLAND, OR 97239
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
99297
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
05/29/2024
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