Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 39144 | CO |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD153157 | OR |
NPI | 1336264373 |
---|---|
Provider Name | Dr. Osvaldo A. Schirripa |
First Address | Bend, OR 97702-3189 |
Second Address | Bend, OR 97702-3189 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 11/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F84087 | (02) | CA |