Kiyasu, Phillip K
Kiyasu, Phillip K is an individual health care provider with primary practice located at 1111 Ne 99Th Ave Suite 301, Portland OR 97220-9428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kiyasu, Phillip K can be contacted via phone (503) 963-2707.Contact Information
Primary practice address
1111 Ne 99Th Ave Suite 301
Portland OR 97220-9428
Phone: (503) 963-2707
Fax: (503) 963-2802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD60293921 | Washington |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD18844 | Oregon |
Profile Details
| NPI number | 1124010673 |
|---|---|
| LBN Legal business name | Kiyasu, Phillip K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Nov 4th, 2024 - about 2 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 | 1124010673 | NPPES |
| Oregon | MEDICAID | 065607 | |
| Oregon | MEDICAID | 8206922 |
Popular Providers
-
Albaugh, Jeffrey Smith
1111 Ne 99Th Ave Suite 301, Portland OR 97220-9428 -
Lezak, Myron Burton
2400 Sw Vermont St , Portland OR 97219-1940 -
Flora, Kenneth D
1111 Ne 99Th Ave Suite 301, Portland OR 97220-9428 -
Benner, Kent George
1111 Ne 99Th Ave Suite 301, Portland OR 97220-9428 -
Regan, James Kevin
1111 Ne 99Th Ave Suite 301, Portland OR 97220-9428 -
Bakis, Gennadiy
1111 Ne 99Th Ave Ste 301 , Portland OR 97220-9442 -
Barnett, Andy Stuart
3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011 -
Fausel, Craig Stephen
1111 Ne 99Th Ave Suite 301, Portland OR 97220-9428