Ettinger, Kenneth Michael

Ettinger, Kenneth Michael is an individual health care provider with primary practice located at 3550 N Interstate Ave , Portland OR 97227-1196. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Ettinger, Kenneth Michael can be contacted via phone (503) 285-9321.

Contact Information

Primary practice address
3550 N Interstate Ave Portland OR 97227-1196
Phone: (503) 285-9321
Fax: (503) 331-6450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD13428 Oregon
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD00027111 Washington

Profile Details

NPI number 1972617330
LBN Legal business name Ettinger, Kenneth Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Feb 4th, 2022 - about 3 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.

Request for update

Popular Providers