Organization · Type 2 NPI

Providence Health & Service - Oregon

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Portland, OR

NPI number 1457625501 Active

Practice location

5050 NE Hoyt St, Suite 511
Portland, OR 97213-2984

Call (503) 962-1020 Map

Fax (503) 962-1021

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary 208G00000XNone listed
Clinic/Center 261Q00000XNone listed

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of th…

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About NPI 1457625501

Providence Health & Service - Oregon's National Provider Identifier is 1457625501, issued on Mar 6, 2012. The primary taxonomy on file is Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X), and the practice location is in Portland, OR. The record was last updated on Jun 30, 2025.