SANJOG BASTOLA MD
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1922459064- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-6594
- Fax
- (503) 494-4285
Specialties & Taxonomies
Internal Medicine
License: MI #4301109761
Hospitalist
License: OR #MD191319
Internal Medicine
Primary License: OR #1922459064