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Dr. Steven J Mandelblatt, M.D.

Internal Medicine in Portland, OR. Individual provider (NPI-1).

NPI number1427092139
StatusActive
Last updated in NPPESAug 28, 2009

Details

NPI
1427092139
Entity type
Individual (NPI-1)
Name
Dr. Steven J Mandelblatt
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 15, 2006
Last updated
Aug 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD13180ORYes

Practice location

1321 Ne 99th Ave
Suite 100
Portland, OR 97220-9436

Phone 503-215-9900 · Fax 503-215-4055

Mailing address

Po Box 13994
Portland, OR 97213-0994

Phone 503-215-6494 · Fax 503-215-6644

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