Dr. ROBERT PROVENZANO MD
Individual Provider (NPI-1)
Active
Internal Medicine, Nephrology
Provider Information
- NPI Number
1972505584- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1547 NE 40TH AVE STE B, PORTLAND, OR, 972321862
- Phone
- (855) 397-0197
Specialties & Taxonomies
Internal Medicine, Nephrology
License: ID #M-11205
Internal Medicine, Nephrology
License: MI #4301047354
Internal Medicine, Nephrology
License: AZ #54729
Internal Medicine, Nephrology
License: NC #2017-00405
Internal Medicine, Nephrology
License: SC #40429
Internal Medicine, Nephrology
License: PA #MD463387
Internal Medicine, Nephrology
License: FL #ME118456
Internal Medicine, Nephrology
License: CO #48234
Internal Medicine, Nephrology
License: TN #MD0000053388
Internal Medicine, Nephrology
License: OR #MD170613
Internal Medicine, Nephrology
Primary License: MI #RP047354