Pucks, Neysan

Pucks, Neysan is an individual health care provider with primary practice located at 1200 Nw 23Rd Avenue , Portland OR 97210. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pucks, Neysan can be contacted via phone (503) 413-7074.

Contact Information

Primary practice address
1200 Nw 23Rd Avenue Portland OR 97210
Phone: (503) 413-7074
Fax: (503) 413-6892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD215330 Oregon

Profile Details

NPI number 1073142659
LBN Legal business name Pucks, Neysan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2020
Last updated Jun 22nd, 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.

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