Healthcare Provider Details

I. General information

NPI: 1346327681
Provider Name (Legal Business Name): JAMES C BOROWIEC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PROVIDENCE DR
NEWBERG OR
97132-7485
US

IV. Provider business mailing address

1001 PROVIDENCE DR
NEWBERG OR
97132-7485
US

V. Phone/Fax

Practice location:
  • Phone: 503-537-1796
  • Fax: 503-537-1819
Mailing address:
  • Phone: 503-537-1796
  • Fax: 503-537-1819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD00046006
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD28834
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: