IndividualActive
Marco Colasurdo
NPI 1992392179 · Neuroradiology Physician · Portland, OR
Provider details
- NPI number
- 1992392179
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- BP10070245 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3042
Phone: (503) 494-7660
Fax: (503) 494-4258
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3042
Registry dates
- Enumerated
- 2020-12-22
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.