Dordevich, Dejan Milorad
Dordevich, Dejan Milorad is an sole proprietor health care provider with primary practice located at 545 Ne 47Th Ave Ste 301 , Portland OR 97213-2287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Dordevich, Dejan Milorad can be contacted via phone (503) 231-7622.Contact Information
Primary practice address
545 Ne 47Th Ave Ste 301
Portland OR 97213-2287
Phone: (503) 231-7622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | MD10741 | Oregon |
Profile Details
| NPI number | 1407905037 |
|---|---|
| LBN Legal business name | Dordevich, Dejan Milorad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407905037 | NPPES |
| Oregon | MEDICAID | 263046 |
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