Provider Demographics
NPI:1396128849
Name:SARAVIA FERNANDEZ, ESTUARDO JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:ESTUARDO
Middle Name:JOSE
Last Name:SARAVIA FERNANDEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3181 SW SAM JACKSON PARK
Mailing Address - Street 2:MAIL CODE SJH-2
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-7641
Mailing Address - Fax:503-494-4661
Practice Address - Street 1:3181 SW SAM JACKSON PARK
Practice Address - Street 2:MAIL CODE SJH-2
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-7641
Practice Address - Fax:503-494-4661
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2022-06-27
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Provider Licenses
StateLicense IDTaxonomies
ORMD209350207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology