NPI 1528067972 · live from the CMS NPI Registry
Andris Antoniskis, MD
Internal Medicine in Portland, OR. National Provider Identifier 1528067972, active.
NPI record
| NPI | 1528067972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 5228 Ne Hoyt St, Bldg B, 3rd Floor, Portland, OR 97213 |
| Practice phone | 503-215-2584 |
| Mailing address | Po Box 3158, Portland, OR 97208 |
| Enumerated | July 19, 2005 |
| Last updated | November 7, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | MD10115 (OR) |
| Internal Medicine, Addiction Medicine | 207RA0401X | MD10115 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.