Ismach, Richard B
Ismach, Richard B is an individual health care provider with primary practice located at 3710 Sw Us Veterans Hospital Rd , Portland OR 97239-2964. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ismach, Richard B can be contacted via phone (503) 220-8262.Contact Information
Primary practice address
3710 Sw Us Veterans Hospital Rd
Portland OR 97239-2964
Phone: (503) 220-8262
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD25393 | Oregon |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD25393 | Oregon |
Profile Details
| NPI number | 1780688556 |
|---|---|
| LBN Legal business name | Ismach, Richard B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Mar 3rd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780688556 | NPPES |
| Washington | MEDICAID | 8228769 | |
| Washington | MEDICAID | 041178 | |
| Washington | MEDICAID | 00816483B |
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