NPI 1811068752 · live from the CMS NPI Registry
Scott Chadderdon, MD
Internal Medicine, Cardiovascular Disease in Portland, OR. National Provider Identifier 1811068752, active.
NPI record
| NPI | 1811068752 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-8750 |
| Mailing address | 4034 Se Bybee Blvd, Portland, OR 97202 |
| Enumerated | November 13, 2006 |
| Last updated | December 10, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MD25480 (OR) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD25480 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.