Provider Demographics
NPI:1356852339
Name:OSTERGARD, ARTHUR ERIC (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:ERIC
Last Name:OSTERGARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4291 COUNTRY WOODS CT
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-2538
Mailing Address - Country:US
Mailing Address - Phone:503-709-1792
Mailing Address - Fax:503-709-1792
Practice Address - Street 1:4291 COUNTRY WOODS CT
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-2538
Practice Address - Country:US
Practice Address - Phone:503-709-1792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32949207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty