Dr. Conrad J Macon
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
Dr. Conrad J Macon
Internist Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
(503) 494-7593
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About
Features
Specialties
- Internist
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Conrad J Macon
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3079
- Phone : (503) 494-7593
Second Address
- Dr. Conrad J Macon
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3011
- Phone : (757) 714-1508
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD201378 | OR |
| N | 111NI0900X | Internist | MD201378 | OR |
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD201378 | OR |
| N | 207RC0000X | Internist - Cardiovascular Disease | MD201378 | OR |
National Provider Identifier
| NPI | 1215203252 |
|---|---|
| Provider Name | Dr. Conrad J Macon |
| First Address | Portland, OR 97239-3079 |
| Second Address | Portland, OR 97239-3011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2012 |
| Last Update Date | 26/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.