Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD17254 | OR |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD17254 | OR |
NPI | 1013913748 |
---|---|
Provider Name | Dr. Robert C. Florek |
First Address | Portland, OR 97208-3158 |
Second Address | Hood River, OR 97031-1513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 24/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
026042 | (05) | OR |
E47602 | (02) |