NPI 1962612283

Charles Kristian Enestvedt, MD

Practitioner Transplant Surgery Physician Portland, OR

Practice location

Address: 3181 SW Sam Jackson Park Rd Department of Surgical Oncology, L619, Portland, OR 97239-3011
Phone: (503) 494-8592
Mailing address: 3181 SW Sam Jackson Park Rd L619, Portland, OR 97239-3011

Registered specialties (2)

Transplant Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204F00000X Licence MD151458 (OR)

Other Transplant Surgery providers in Oregon →

Surgical Oncology Physician

Allopathic & Osteopathic Physicians Taxonomy 2086X0206X Licence MD151458 (OR)

Other Surgery providers in Oregon →

Registry record

NPI: 1962612283
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2007
Record last updated: 21 Jul 2010

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.