Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES KRISTIAN ENESTVEDT, MD
ActiveTransplant Surgery · PORTLAND, OR
Registration Details
- NPI Number
- 1962612283
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (18.913577654763 yrs)
- Last Updated
- Jul 21, 2010
- Licenses
-
MD151458 (OR)MD151458 (OR)
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDDEPARTMENT OF SURGICAL ONCOLOGY, L619PORTLAND, OR, 972393011Browse OR providers · Browse ZIP 97239
- Phone
- 5034948592
- Primary Specialty
-
Transplant Surgery
204F00000X
- Additional Specialty
- Surgical Oncology
Other Transplant Surgery Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. KAYVAN ROAYAIE | M.D. | 1922039973 |
| DAVID L. SCOTT | MD | 1750397246 |
| JOHN RABKIN | M.D. | 1811042179 |
| CHRISTOPHER ROBERT CONNELLY | M.D. | 1629369756 |
| DR. ALEXANDRA CERUTTI BOLOGNESE | MD, PHD | 1356609374 |
| DR. EPHRAIM SHIN-TIAN TANG | MD | 1679027874 |
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.