Antoniskis, Andris

Antoniskis, Andris is an individual health care provider with primary practice located at 5228 Ne Hoyt St Bldg B, 3Rd Floor, Portland OR 97213-3055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Antoniskis, Andris can be contacted via phone (503) 215-2584.

Contact Information

Primary practice address
5228 Ne Hoyt St Bldg B, 3Rd Floor Portland OR 97213-3055
Phone: (503) 215-2584
Fax: (503) 215-1524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD10115 Oregon
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD10115 Oregon

Profile Details

NPI number 1528067972
LBN Legal business name Antoniskis, Andris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528067972 NPPES
Oregon MEDICAID 220376
Oregon MEDICAID 500626738

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