Physician Profile

Robert Provenzano, MD

Unclaimed Profile

About Dr. Provenzano

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Specialty

Nephrology (Primary)
Nephrology (Additional)
Nephrology (Additional)
Nephrology (Additional)
Nephrology (Additional)
Nephrology (Additional)

Credentials & Licensing

OR licenseMD170613
AZ license54729
CO license48234
FL licenseME118456
ID licenseM-11205
MI license4301047354
MI licenseRP047354
NC license2017-00405
PA licenseMD463387
SC license40429
TN licenseMD0000053388
NPI1972505584
NPI issued08/12/2005

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What does Dr. Provenzano specialize in?

Dr. Provenzano is a kidney specialist in Portland, OR. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nephrology”.

NPI registry

Where is Dr. Provenzano located?

Dr. Provenzano is listed at 1547 Ne 40Th Ave Ste B, Portland, OR 97232. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Provenzano's phone number?

The number on file is (855) 397-0197. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Dr. Provenzano's NPI number?

Dr. Provenzano's National Provider Identifier is 1972505584. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Dr. Provenzano been practicing?

Dr. Provenzano has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Dr. Provenzano confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Provenzano. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.