Healthcare Provider Details

I. General information

NPI: 1467452276
Provider Name (Legal Business Name): JAMES P CUYLER MD, FRCSC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1849 NW KEARNEY ST
PORTLAND OR
97209-1453
US

IV. Provider business mailing address

1849 NW KEARNEY ST SUITE 300
PORTLAND OR
97209-1453
US

V. Phone/Fax

Practice location:
  • Phone: 503-224-1371
  • Fax: 503-224-0722
Mailing address:
  • Phone: 503-224-1371
  • Fax: 503-224-0722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberMD8007
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: