Colasurdo, Michael Adrian

Colasurdo, Michael Adrian is an individual health care provider with primary practice located at 3355 Riverbend Dr Ste 220 , Springfield OR 97477-8800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Colasurdo, Michael Adrian can be contacted via phone (541) 686-8790.

Contact Information

Primary practice address
3355 Riverbend Dr Ste 220 Springfield OR 97477-8800
Phone: (541) 686-8790
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD14450 Oregon

Profile Details

NPI number 1992878169
LBN Legal business name Colasurdo, Michael Adrian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Oct 23rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992878169 NPPES
Oregon MEDICAID 088047

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