CONRAD J MACON

PORTLAND, OR
NPI1215203252
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology
(Licence: OR  MD201378)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OR  MD201378)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: OR  MD201378)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-03-23
Last Update Date2020-10-26
Business Address
Dr. CONRAD J MACON M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 757-714-1508
Mailing Address
Dr. CONRAD J MACON M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3079
Phone number: 503-494-7593