Andrew Dysart, MD is a student in an organized health care education training program in Portland, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Andrew Dysart, MD NPI is 1821674995. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1200 NW 23RD AVE
PORTLAND, OR
ZIP 97210-906
Phone: (503) 413-7074
Fax: (503) 413-6892
The NPI 1821674995 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 3/19/2021 and was last updated on 3/19/2021.