Dr. Dejan Milorad Dordevich
Internist - Allergy & Immunology
545 Ne 47th Ave Ste 301
Portland
, Oregon 97213-2287
Dr. Dejan Milorad Dordevich
Internist - Allergy & Immunology
545 Ne 47th Ave Ste 301
Portland
, Oregon 97213-2287
(503) 231-7622
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Dejan Milorad Dordevich
- 545 Ne 47th Ave Ste 301
- Portland, OR
- Zip : 97213-2287
- Phone : (503) 231-7622
Second Address
- Dr. Dejan Milorad Dordevich
- 545 Ne 47th Ave Ste 301
- Portland, OR
- Zip : 97213-2287
- Phone : (503) 231-7622
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | MD10741 | OR |
National Provider Identifier
| NPI | 1407905037 |
|---|---|
| Provider Name | Dr. Dejan Milorad Dordevich |
| First Address | Portland, OR 97213-2287 |
| Second Address | Portland, OR 97213-2287 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 263046 | (05) | OR |
| B18216 | (02) | OR |
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.