MEDICARE: DR. ROBERT STEVEN UNITAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	MD15663	OR
2	207RP1001X	Pulmonary Disease Physician	MD00034652	WA

General Provider Information

NPI Number	:	1780697243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT STEVEN UNITAN M.D.

Provider Business Mailing Address
First Line	:	500 NE MULTNOMAH
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232
Country	:	US
Telephone Number	:	503-813-3860
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 NE MULTNOMAH ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2023
Country	:	US
Telephone Number	:	503-813-3860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/08/2007

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