Individual
GEOFFERY W.P. CLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0041439
CO
207R00000X
Internal Medicine Physician
Primary
MD204668
OR
207RI0200X
Infectious Disease Physician
DR.0041439
CO
207RI0200X
Infectious Disease Physician
MD204668
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53455878
—
CO
Enumeration date
08/09/2005
Last updated
01/27/2022
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