Miriam Agisim, MD
Family Medicine in Portland, Oregon
1538506266- 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, MD is a Family Medicine based in Portland, OR. Miriam Agisim, MD holds the professional credentials of MD. The NPI number for Miriam Agisim, MD is 1538506266 and holds license No. MD179807 (OR). The current practice location address is 8935 SE Powell Blvd, Portland, OR 97266-1938 and the office can be reached by phone at 503-772-4335 and by fax at 503-772-4337. The NPI was assigned on June 4, 2013 and the record was last updated in NPPES on October 5, 2016.
●Provider Profile Details
- NPI Number
- 1538506266
- Provider Name
- Miriam Agisim
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Enumeration Date
- June 4, 2013
- Last Update Date
- October 5, 2016
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 8935 SE Powell Blvd
Portland, OR 97266-1938 - City
- Portland
- State
- Oregon
- ZIP
- 97266-1938
- Country
- US
- Phone Number
- 503-772-4335
- Fax Number
- 503-772-4337
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | MD179807 | OR |
| Family Medicine | 207Q00000X | No | MT204726 | PA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. MD179807 (OR).
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 at npiregistry.cms.hhs.gov.