Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD162129 | OR |
N | 207RC0000X | Internist - Cardiovascular Disease | MD162129 | OR |
N | 207U00000X | Nuclear Medicine Specialist | MD162129 | OR |
NPI | 1861697682 |
---|---|
Provider Name | Joshua David Remick |
First Address | Portland, OR 97208-3158 |
Second Address | Portland, OR 97225-6652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500656390 | (05) | OR |