NPI 1366526477 · live from the CMS NPI Registry
Sergio Fazio, MD, PhD
Internal Medicine, Endocrinology, Diabetes & Metabolism in Portland, OR. National Provider Identifier 1366526477, active.
NPI record
| NPI | 1366526477 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Endocrinology, Diabetes & Metabolism 207RE0101X |
| Practice location | 3303 Sw Bond Ave, Portland, OR 97239 |
| Practice phone | 503-418-9008 |
| Enumerated | October 25, 2006 |
| Last updated | May 7, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | MF165476 (OR) |
| Internal Medicine, Endocrinology, Diabetes & Metabolism primary | 207RE0101X | MF165476 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.