| NPI | 1588283154 |
|---|---|
| Doing Business As | ADVANCED VASCULAR CENTERS PORTLAND |
| Entity Type | Organization |
| Authorized Contact | MARY M COSTANTINO Physician Owner 503-683-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2022-01-26 |