Individual provider · Type 1 NPI

Raisa Premysler, MD

General Practice Physician · Portland, OR

NPI number 1407908650 Active

Practice location

426 SW Stark St, 8th Floor
Portland, OR 97204-2347

Call (503) 988-3674 Map

Fax (503) 988-6905

Mailing address

421 SW Oak St, 210
Portland, OR 97204-1817

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XMD15738 (OR)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1407908650

Raisa Premysler, MD's National Provider Identifier is 1407908650, issued on Jan 17, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Portland, OR. The record was last updated on Dec 18, 2009.