Niskanen, Grant
Niskanen, Grant is an individual health care provider with primary practice located at 2865 Daggett Ave. , Klamath Falls OR 97601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Niskanen, Grant can be contacted via phone (541) 882-6311.Contact Information
Primary practice address
2865 Daggett Ave.
Klamath Falls OR 97601
Phone: (541) 882-6311
Fax: (541) 882-6311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD18831 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9782 | New Hampshire |
Profile Details
| NPI number | 1801898358 |
|---|---|
| LBN Legal business name | Niskanen, Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1801898358 | NPPES |
| Oregon | MEDICAID | 006600 | |
| Oregon | Other | POO100692 | |
| Oregon | Other | 0108854YPNH02 | |
| Oregon | MEDICAID | 30009720 | |
| Oregon | Other | 3059734PNH02 | |
| Oregon | Other | 5830418 | |
| Oregon | Other | 8782 |
Popular Providers
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Gailis, Glenn G
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Glidden, Alden B.
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