Provider Demographics
NPI:1801914700
Name:DEPATMENT OF ANESTHESIOLOGY AND PERIOPERATIVE MEDICINE
Entity type:Organization
Organization Name:DEPATMENT OF ANESTHESIOLOGY AND PERIOPERATIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ASISH
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:DAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-494-9000
Mailing Address - Street 1:4284 NW SILVERLEAF DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-2368
Mailing Address - Country:US
Mailing Address - Phone:503-494-9000
Mailing Address - Fax:503-418-0884
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-9000
Practice Address - Fax:503-418-0884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD22750284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital