Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD16726 | OR |
Y | 207P00000X | Emergency Physician | MD60990596 | WA |
NPI | 1013087485 |
---|---|
Provider Name | Dr. Andrew Douglass Zechnich |
First Address | Portland, OR 97225-6623 |
Second Address | Vancouver, WA 98663-2223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 24/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036520 | (05) | OR |
F15123 | (02) | OR |