KELLY JOHN CAVERZAGIE

PORTLAND, OR
NPI1033158084
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: OR  MD222456)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OR  MD222456)
207R00000X Internal Medicine
(Licence: NE  22784)
207R00000X Internal Medicine
(Licence: PA  MD426638)
Enumeration Date2006-06-05
Last Update Date2024-11-20
Business Address
KELLY JOHN CAVERZAGIE MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-1164
Mailing Address
KELLY JOHN CAVERZAGIE MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-1164