Organization · Type 2 NPI

Physician On Duty

General Practice Physician · Beaverton, OR

NPI number 1275787780 Active

About NPI 1275787780

Physician On Duty's National Provider Identifier is 1275787780, issued on Nov 11, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Beaverton, OR. The record was last updated on Nov 11, 2008.