Andrew S Widman, DO - Portland, OR

Andrew S Widman, DO

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1831941673

Andrew S Widman is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Andrew S Widman practices in Portland, OR and has the professional credentials of DO. The NPI Number for Andrew S Widman is 1831941673 and holds a License No. PG219916 (Oregon).

The current practice location address for Andrew S Widman is 5050 Ne Hoyt St Ste 540, Portland, OR and can be reached out via phone at 503-215-6600.

Location: 5050 Ne Hoyt St Ste 540, Portland, OR, 97208-3158

NPI Number

1831941673

Provider Name

Andrew S Widman

Credential

Provider Entity Type

Individual

Gender

Male

Address

5050 Ne Hoyt St Ste 540, Portland, OR, 97208-3158

Phone Number

503-215-6600

Fax Number

Provider Enumeration Date

04/04/2024

Last Update Date

04/14/2024

Address

5050 Ne Hoyt St Ste 540

City

Portland

State

Oregon

Zip

97213-2985

Phone Number

503-215-6600

Fax Number

Address

5050 Ne Hoyt St Ste 540

City

Portland

State

Oregon

Zip

97213-2985

Phone Number

503-215-6600

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

PG219916 (Oregon)

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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