DR. Charles Kristian Enestvedt, MD

NPI #1962612283 in Portland, Oregon

Provider Information

NPI Number: 1962612283
Entity Type: Individual
Name: DR. Charles Kristian Enestvedt, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Transplant Surgery
Credential: MD
Enumeration Date: May 23, 2007
Last Updated: Jul 21, 2010

Practice Location

Address: 3181 SW SAM JACKSON PARK RD
Address 2: DEPARTMENT OF SURGICAL ONCOLOGY, L619
City: Portland
State: Oregon
ZIP Code: 97239-3011
Phone: (503) 494-8592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Transplant Surgery	204F00000X	Primary
Surgery - Surgical Oncology — Surgical Oncology	2086X0206X

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