Dr DAVID FERNANDO ANTEZANA MD is a male medical professional, specializing in Neurosurgery. He graduated in 1994 from University Of Minnesota Medical School.
OREGON CLINIC PC
4805 NE GLISAN
PORTLAND
OR
972132933
Tel:
| Npi | 1225024052 |
| Pac Id | 6800802307 |
| Professional Enrollment Id | I20060221000467 |
| Last Name | ANTEZANA |
| First Name | DAVID |
| Middle Name | FERNANDO |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | NEUROSURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | OREGON CLINIC PC |
| Group Practice Pac Id | 2860390408 |
| Number Of Group Practice Members | 275 |
| Line 1 Street Address | 4805 NE GLISAN |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | PORTLAND |
| State | OR |
| Zip Code | 972132933 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 380061 |
| Hospital Affiliation Lbn 1 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380004 |
| Hospital Affiliation Lbn 2 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 380082 |
| Hospital Affiliation Lbn 3 | PROVIDENCE MILWAUKIE HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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