MEDICARE: FERNANDO MIER GIRAUD MD

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	208600000X	Surgery Physician	MD37022	OK
2	208600000X	Surgery Physician	PG158260	OR
3	208600000X	Surgery Physician	ML60164031	WA

General Provider Information

NPI Number	:	1518288240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERNANDO MIER GIRAUD MD

Provider Business Mailing Address
First Line	:	3181 SW SAM JACKSON PARK RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-3011
Country	:	US
Telephone Number	:	503-494-7344
Fax Number	:	503-494-3936

Provider Business Practice Location Address
First Line	:	800 STANTON L YOUNG BLVD STE 9000
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5018
Country	:	US
Telephone Number	:	405-271-8806
Fax Number	:	405-271-3919

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

Provider Enumeration Date	:	06/16/2010
Last Update Date	:	04/21/2022

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