Khaki, Ida Sheevaun
Khaki, Ida Sheevaun is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd. Ohsu, Portland OR 97239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khaki, Ida Sheevaun can be contacted via phone (503) 494-8211.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd. Ohsu
Portland OR 97239
Phone: (503) 494-8211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD166953 | Oregon |
Profile Details
| NPI number | 1275822371 |
|---|---|
| LBN Legal business name | Khaki, Ida Sheevaun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2011 |
| Last updated | Jun 18th, 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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