King, Douglas H

King, Douglas H is an individual health care provider with primary practice located at 501 N Graham St #220, Portland OR 97227-1654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. King, Douglas H can be contacted via phone (503) 280-3418.

Contact Information

Primary practice address
501 N Graham St #220 Portland OR 97227-1654
Phone: (503) 280-3418
Fax: (503) 284-7885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD14477 Oregon

Profile Details

NPI number 1346222494
LBN Legal business name King, Douglas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jun 13th, 2011 - about 14 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 1346222494 NPPES
Oregon Other 057775001 BLUE CROSS
Oregon MEDICAID 1053073 BLUE CROSS
Oregon MEDICAID 130153 BLUE CROSS

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