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Dr. Robert Provenzano, MD
Nephrology Physician in Portland, Oregon
NPI 1972505584

Robert Provenzano is a Nephrology Physician based in Chandler, OR and is specialized in Nephrology. Robert Provenzano practices in Portland, OR and has the professional credentials of MD. The NPI Number for Robert Provenzano is 1972505584 and holds a License No. M-11205 (Oregon).

The current practice location address for Robert Provenzano is 1547 Ne 40Th Ave Ste B, Portland, OR and can be reached out via phone at 855-397-0197. You can also correspond with Robert Provenzano through the mailing address at 1840 E RAY RD, CHANDLER, AZ - 85225-8720 (mailing address contact number: 855-397-0197).

Location: 1547 Ne 40Th Ave Ste B, Portland, OR, 85225-8720
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Provider Profile Details
NPI Number
1972505584
Provider Name
Robert Provenzano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1547 Ne 40Th Ave Ste B, Portland, OR, 85225-8720
Phone Number
855-397-0197
Fax Number
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1547 Ne 40Th Ave Ste B
City
State
Zip
97232-1862
Phone Number
855-397-0197
Fax Number
person
Provider Business Mailing Address Details
Address
1547 Ne 40Th Ave Ste B
City
State
Zip
97232-1862
Phone Number
855-397-0197
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
M-11205 (Idaho)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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