DR. CHARLES KRISTIAN ENESTVEDT MD NPI 1962612283

NPI Information

NPI: 1962612283
Provider Name: DR. CHARLES KRISTIAN ENESTVEDT, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual
Organization: OREGON HEALTH AND SCIENCES UNIVERSITY/UNIVERSITY MEDICAL GROUP

PECOS Registration: Yes

Address:
3181 SW SAM JACKSON PARK RD
DEPARTMENT OF SURGICAL ONCOLOGY, L619
PORTLAND, OR
ZIP 97239
Phone: (503) 494-8592
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DR. Charles Kristian Enestvedt, MD is a transplant surgery in Portland, OR with 21 years of experience. The provider is definition to come. DR. Charles Kristian Enestvedt, MD NPI is 1962612283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:2003

The provider's business location address is:

3181 SW SAM JACKSON PARK RD
DEPARTMENT OF SURGICAL ONCOLOGY, L619
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-8592

The NPI 1962612283 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 7/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086X0206X	Surgery	Surgical Oncology	MD151458	OREGON	No
2	204F00000X	Transplant Surgery		MD151458	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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