- Practice location
- 8935 SE Powell Blvd, Portland, OR 97266-1938
- Phone
- 503-772-4335
- Fax
- 503-772-4337
- Last updated
- October 5, 2016
Miriam Agisim is a Family Medicine based in Portland, OR. Miriam Agisim practices in Portland, OR and has the professional credentials of MD. The NPI Number for Miriam Agisim is 1538506266 and holds a License No. MD179807 (OR). The current practice location address for Miriam Agisim is 8935 SE Powell Blvd, Portland, OR 97266-1938 and can be reached out via phone at 503-772-4335 and via fax at 503-772-4337.
Provider Profile Details
- NPI Number
- 1538506266
- Provider Name
- Miriam Agisim
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 8935 SE Powell Blvd, Portland, OR 97266-1938
- Phone Number
- 503-772-4335
- Fax Number
- 503-772-4337
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 4, 2013
- Last Update Date
- October 5, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8935 SE Powell Blvd
Portland, OR 97266-1938 - City
- Portland
- State
- Oregon
- Zip
- 97266-1938
- Phone Number
- 503-772-4335
- Fax Number
- 503-772-4337
Provider Business Mailing Address Details
- Address
- 8935 SE Powell Blvd
Portland, OR 97266-1938 - City
- Portland
- State
- OR
- Zip
- 97266-1938
- Phone Number
- 503-772-4335
- Fax Number
- 503-772-4337
License Information
- License Number (1)
- MD179807
- License State (1)
- OR
- Taxonomy (1)
- Family Medicine · 207Q00000X · Primary
- License Number (2)
- MT204726
- License State (2)
- PA
- Taxonomy (2)
- Family Medicine · 207Q00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miriam Agisim, MD?
The NPI number of Miriam Agisim, MD is 1538506266. It was assigned on June 4, 2013 and is currently active in the NPPES registry.
What is the specialty of Miriam Agisim, MD?
Miriam Agisim, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in OR under license number MD179807.
Where does Miriam Agisim, MD practice?
The practice location is 8935 SE Powell Blvd, Portland, OR 97266-1938. The office can be reached at 503-772-4335 (phone) or 503-772-4337 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538506266 directly on the NPPES registry website.