Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD165922 | OR |
Y | 208600000X | Surgeon | MD165922 | OR |
N | 2086S0102X | Surgical Critical Care | MD165922 | OR |
NPI | 1346402500 |
---|---|
Provider Name | Juan Carlos Esguerra |
First Address | Salem, OR 97306-9427 |
Second Address | Salem, OR 97306-9427 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 04/02/2022 |