Provider Demographics
NPI:1326199738
Name:VERZOSA, FRANCES VENTURA (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:VENTURA
Last Name:VERZOSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:410 NW ILWACO ST
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-9047
Mailing Address - Country:US
Mailing Address - Phone:360-834-6944
Mailing Address - Fax:503-525-5875
Practice Address - Street 1:10535 NE GLISAN ST
Practice Address - Street 2:STE.100
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-4077
Practice Address - Country:US
Practice Address - Phone:503-226-3579
Practice Address - Fax:503-525-5875
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD13238207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine