Guenzburger, Todd

Guenzburger, Todd is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste Bg05, Portland OR 97213-2933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Guenzburger, Todd can be contacted via phone (503) 215-2392.

Contact Information

Primary practice address
4805 Ne Glisan St Ste Bg05 Portland OR 97213-2933
Phone: (503) 215-2392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD16622 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD16622 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00044947 Washington

Profile Details

NPI number 1790750214
LBN Legal business name Guenzburger, Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2006
Last updated Jun 18th, 2021 - about 4 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 1790750214 NPPES
Oregon MEDICAID 054085

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