JODY MARIE WELBORN MD NPI 1467445536

NPI Information

Jody Marie Welborn, MD is a cardiovascular disease internal medicine in Portland, OR. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jody Marie Welborn, MD NPI is 1467445536. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 NE 99TH AVE
SUITE 201
PORTLAND, OR
ZIP 97220-428
Phone: (503) 962-1000
Fax: (503) 963-3005

The NPI 1467445536 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 8/24/2005 and was last updated on 11/11/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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