Provider Demographics
NPI:1730388398
Name:ASAPH, JAMES WELLINGTON (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WELLINGTON
Last Name:ASAPH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 SW WESTDALE DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97221-3158
Mailing Address - Country:US
Mailing Address - Phone:503-292-9622
Mailing Address - Fax:
Practice Address - Street 1:4401 SW WESTDALE DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97221-3158
Practice Address - Country:US
Practice Address - Phone:503-292-9622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD09042208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)