Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 20A11921 | CA |
N | 111NI0900X | Internist | 20A11921 | CA |
Y | 207RH0000X | Hematologist | DO183890 | OR |
NPI | 1093031668 |
---|---|
Provider Name | Dr. Levanto Gershon Schachter |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2010 |
Last Update Date | 10/12/2018 |