Northwest Vein Specialists, P.c.

NPI #1619089083 in Portland, Oregon

Provider Information

NPI Number: 1619089083
Entity Type: Organization
Organization Name: Northwest Vein Specialists, P.c.
Primary Specialty: Surgery
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 12400 NW CORNELL RD
Address 2: SUITE 200
City: Portland
State: Oregon
ZIP Code: 97229-5693
Phone: (503) 352-0427

Authorized Official

Name: RICHARD L JAMISON, MD
Title: SECRETARY/TREASURER
Phone: (503) 352-0427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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