Dr. Robert Provenzano, MD - Portland, OR

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.

Location: 1547 Ne 40Th Ave Ste B, Portland, OR, 85225-8720

NPI Number

1972505584

Provider Name

Robert Provenzano

Credential

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

Address

1547 Ne 40Th Ave Ste B

City

Portland

State

Oregon

Zip

97232-1862

Phone Number

855-397-0197

Fax Number

Address

1547 Ne 40Th Ave Ste B

City

Portland

State

Oregon

Zip

97232-1862

Phone Number

855-397-0197

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Internal Medicine

Speciality

Nephrology

Taxonomy

207RN0300X

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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