NPI 1033158084
Kelly John Caverzagie, MD
Practice location
- Address
- 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
- Phone
- (503) 494-1164
- Fax
- (503) 494-5502
Registered specialties (4)
Hospitalist Physician
Primary
Internal Medicine Physician
Internal Medicine Physician
Internal Medicine Physician
Registry record
- NPI
- 1033158084
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Jun 2006
- Record last updated
- 20 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.