Individual provider · Type 1 NPI

Charles Kristian Enestvedt, MD

Transplant Surgery Physician · Portland, OR

NPI number 1962612283 Active

Practice location

3181 SW Sam Jackson Park Rd, Department Of Surgical Oncology, L619
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Transplant Surgery Physician Primary 204F00000XMD151458 (OR)
Surgical Oncology Physician 2086X0206XMD151458 (OR)

Transplant Surgery Physician: A surgeon who specializes in transplant surgery.

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About NPI 1962612283

Charles Kristian Enestvedt, MD's National Provider Identifier is 1962612283, issued on May 23, 2007. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2010.