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Contact Information

JOHN DENKER, MD
5622 SE 41ST AVE
PORTLAND, OR97202-7516
 Phone: 503-774-6929
 Fax: 503-774-6924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN DENKER · (Male)

NPI # 1942201546
Status Active
Credentials MD
Entity Individual
Enumeration date 08/03/2005
Last updated 10/16/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD 12668
  • OR Medicaid 228700
  • Other 930862374 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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