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David P Ciaverella, DO
Diagnostic Radiology Physician in Portland, Oregon
NPI 1689659047

David P Ciaverella is a Diagnostic Radiology Physician based in Portland, OR and is specialized in Diagnostic Radiology. David P Ciaverella practices in Portland, OR and has the professional credentials of DO. The NPI Number for David P Ciaverella is 1689659047 and holds a License No. DO22260 (Oregon).

The current practice location address for David P Ciaverella is 2801 N Gantenbein Ave, Portland, OR and can be reached out via phone at 503-575-2521 and via fax at 503-389-7997. You can also correspond with David P Ciaverella through the mailing address at PO BOX 10768, PORTLAND, OR - 97296-0768 (mailing address contact number: 503-575-2521).

Location: 2801 N Gantenbein Ave, Portland, OR, 97296-0768
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Provider Profile Details
NPI Number
1689659047
Provider Name
David P Ciaverella
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2801 N Gantenbein Ave, Portland, OR, 97296-0768
Phone Number
503-575-2521
Fax Number
503-389-7997
Provider Enumeration Date
12/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8273336 05 WA
840126007 01 OR REGENCE BC/BS
287864 05 OR
P00059728 01 OR RR MC
institution
Provider Business Practice Location Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227-1623
Phone Number
503-575-2521
Fax Number
503-389-7997
person
Provider Business Mailing Address Details
Address
Po Box 10768
City
State
Zip
97296-0768
Phone Number
503-575-2521
Fax Number
503-389-7997
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
DO22260 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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