Koh, Jeffrey Lee

Koh, Jeffrey Lee is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Uhs-2, Portland OR 97239-3011. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Koh, Jeffrey Lee can be contacted via phone (503) 494-4910.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Uhs-2 Portland OR 97239-3011
Phone: (503) 494-4910
Fax: (503) 494-8368
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD22441 Oregon
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MD22441 Oregon
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD22441 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD22441 Oregon

Profile Details

NPI number 1972531150
LBN Legal business name Koh, Jeffrey Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jan 13th, 2015 - about 11 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 1972531150 NPPES
Oregon MEDICAID 289533

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