NPI 1790149334 · live from the CMS NPI Registry
George Agyekum, M. D.
Anesthesiology in Portland, OR. National Provider Identifier 1790149334, active.
NPI record
| NPI | 1790149334 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-418-1389 |
| Mailing address | 5225 Maple Ave Apt 4301, Dallas, TX 75235 |
| Enumerated | April 10, 2016 |
| Last updated | September 9, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | D0092186 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.