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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRIAM AGISIM, MD

Active

MIRIAM AGISIM, MD is a Family Medicine healthcare provider located in PORTLAND, Oregon. NPI 1538506266 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PORTLAND, OR

Registration Details

NPI Number
1538506266
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2013 (13.165285203626 yrs)
Last Updated
Oct 5, 2016
Licenses
MD179807 (OR)
MT204726 (PA)

Practice Information

Address
8935 SE POWELL BLVD
PORTLAND, OR, 972661938
Browse OR providers · Browse ZIP 97266
Phone
5037724335
Fax
5037724337
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in PORTLAND, OR

Name Credential NPI
MELANIE J SMYTHE DO 1043214471
DR. BRYAN DEAN WALLS D.O. 1710982129
KAREN R COOPER D.O. 1487646238
MS. SHAUNA L ENSMINGER MD 1619960002
MARINA MEZEY MD 1346234606
JOHN TAKACS DO 1215921374
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.