Provider Demographics
NPI:1669484036
Name:CALVERLEY, DAVID C (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:CALVERLEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:MAIL CODE L586
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-8534
Mailing Address - Fax:503-494-3257
Practice Address - Street 1:3303 SW BOND AVE
Practice Address - Street 2:MAIL CODE CH7M
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4501
Practice Address - Country:US
Practice Address - Phone:503-494-6594
Practice Address - Fax:503-494-6413
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
OR152434207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR152434OtherMEDICAL LICENSE NUMBER
COBC5686879OtherDEA NUMBER
COBC5686879OtherDEA NUMBER