DR. Robert Provenzano, MD

NPI #1972505584 in Portland, Oregon

Provider Information

NPI Number
1972505584
Entity Type
Individual
Name
DR. Robert Provenzano, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Nephrology
Credential
MD
Enumeration Date
Aug 12, 2005
Last Updated
Nov 26, 2019

Practice Location

Address
1547 NE 40TH AVE STE B
State
Oregon
ZIP Code
97232-1862
Phone
(855) 397-0197

Specialties & Taxonomy Codes

Specialty
Internal Medicine - NephrologyNephrology

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