Kalisiak, Angela

Kalisiak, Angela is an individual health care provider with primary practice located at 265 N Broadway St , Portland OR 97227-1800. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Kalisiak, Angela can be contacted via phone (503) 280-1223.

Contact Information

Primary practice address
265 N Broadway St Portland OR 97227-1800
Phone: (503) 280-1223
Fax: (503) 528-5252
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD17578 Oregon
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD17578 Oregon

Profile Details

NPI number 1386647147
LBN Legal business name Kalisiak, Angela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Feb 23rd, 2011 - about 15 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 1386647147 NPPES
Oregon MEDICAID 040886
Oregon MEDICAID 1009145

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