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Contact Information

JOHN R HANDY JR, MD
4805 NE GLISAN ST
STE 6N50
PORTLAND, OR97213-2933
 Phone: 503-215-2300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN R HANDY JR · (Male)

NPI Number 1932191467
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2005
Last updated 11/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD20507
  • WA License # MD00042773
  • OR Medicaid 150173
Hospital affiliation(s)
  • PROVIDENCE REGIONAL MEDICAL CENTER EVERETT - (Acute Care)
    1321 COLBY AVENUE
    EVERETT, WA 98201
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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