MARY MARCELLE COSTANTINO MD
Individual Provider (NPI-1)
Active
Radiology, Vascular & Interventional Radiology
Provider Information
- NPI Number
1407951171- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 6958 SW VARNS ST, PORTLAND, OR, 972230000
- Phone
- (503) 683-7730
- Fax
- (503) 914-0927
Specialties & Taxonomies
Radiology, Diagnostic Radiology
License: OR #MD26429
Radiology, Vascular & Interventional Radiology
Primary License: OR #MD26429