NPI 1790312809 · live from the CMS NPI Registry
Eric Alexander Ardman, MD
Family Medicine in Portland, OR. National Provider Identifier 1790312809, active.
NPI record
| NPI | 1790312809 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 3530 Se 88th Ave, Portland, OR 97266 |
| Practice phone | 503-772-4335 |
| Enumerated | March 26, 2020 |
| Last updated | January 21, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | MD210706 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.