IndividualActive
Charles Enestvedt, MD
NPI 1962612283 · Transplant Surgery Physician · Portland, OR
Provider details
- NPI number
- 1962612283
- Entity type
- Individual
- Primary specialty
- Transplant Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD151458 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Department of Surgical Oncology, L619
Portland, OR 97239-3011
Phone: (503) 494-8592
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2010-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.