Physician Compare National (NPI:1801030770)

HEALTHCARE PROVIDER: RICARDO GARZA-GRANDE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1801030770
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800037458
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150127001855
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GARZA-GRANDE
	Individual professional last name
Provider First Name	RICARDO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	335 SE 8TH AVE
	Group Practice or individual's line 1 address
City	HILLSBORO
	Group Practice or individual's city
State	OR
	Group Practice or individual's state
Zip Code	971234246
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5036811270
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	380021
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TUALITY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y