Rydzik, Beata L
Rydzik, Beata L is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Suite 495, Portland OR 97225-6652. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Rydzik, Beata L can be contacted via phone (503) 297-3440.Contact Information
Primary practice address
9427 Sw Barnes Rd Suite 495
Portland OR 97225-6652
Phone: (503) 297-3440
Fax: (503) 297-4584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD25039 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD00043352 | Washington |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | MD25039 | Oregon |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | MD00043352 | Washington |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD25039 | Oregon |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD00043352 | Washington |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD25039 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD00043352 | Washington |
Profile Details
| NPI number | 1457357576 |
|---|---|
| LBN Legal business name | Rydzik, Beata L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jun 13th, 2012 - about 13 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 | 1457357576 | NPPES |
| Oregon | MEDICAID | 234458 |
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