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Oregon Medical Board
1500 SW 1st Ave
Suite 620
Portland, OR 97201
Phone: (971) 673-2700
Oregon Seal

Information current as of 06/10/2026 12:38:57 AM

Verification ID: aca45a9d-a26d-43a8-8485-189d67a17065

Provenzano, Robert, MD

MD License: MD170613

  • 03/30/2015
  • Administrative Medicine Active
  • 01/01/2026
  • 12/31/2027
  • NBME
  • Yes

Licensee or Registrant Information

Male
Nephrology, Internal Medicine
Specialty is self-reported by the licensee. It does not necessarily indicate specialty board certification.
English

Practice Location(s)

Street City, State Zip County Phone
1547 NE 40th Ave. Unit B. Portland, OR 97232 Multnomah

Education

School Name Location Degree Date Degree Earned
WAYNE STATE UNIV SCH OF MED DETROIT, MI United States 06/08/1983 MD

Post-Graduate
Training
School Name Location From To Specialty
Internship St John Hospital Program Detroit, MI United States 07/1983 06/1984 Internal Medicine
Residency St John Hospital Program Detroit, MI United States 07/1984 06/1986 Internal Medicine
Fellowship Henry Ford Hospital Program Detroit, MI United States 07/1986 06/1988 Nephrology

Medical education and post-graduate training may not have been verified with the primary source if licensed through Expedited Endorsement.

Board Actions

There are no current or prior Board actions or agreements on file for this licensee or registrant.

Malpractice

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