Kujovich, Jody Lynn
Kujovich, Jody Lynn is an individual health care provider with primary practice located at 265 N Broadway St , Portland OR 97227-1800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Kujovich, Jody Lynn 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD19371 | Oregon |
Profile Details
| NPI number | 1972562809 |
|---|---|
| LBN Legal business name | Kujovich, Jody Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Mar 26th, 2010 - about 16 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 | 1972562809 | NPPES |
| Washington | MEDICAID | 1023487 | |
| Washington | MEDICAID | 150201 |
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