Riveros Angel, Marcela

Riveros Angel, Marcela is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Riveros Angel, Marcela can be contacted via phone (503) 494-8276.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-8276
Fax: (503) 494-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 248332 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD203346 Oregon

Profile Details

NPI number 1679798441
LBN Legal business name Riveros Angel, Marcela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jun 20th, 2024 - about last year

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 1679798441 NPPES
Massachusetts MEDICAID 110089746A

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