Walczyk, Michael H

Walczyk, Michael H is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Ste 400 , Portland OR 97210-2971. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Walczyk, Michael H can be contacted via phone (503) 413-6722.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Ste 400 Portland OR 97210-2971
Phone: (503) 413-6722
Fax: (503) 413-6563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 23874 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD19676 Hawaii
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 13217 Oregon

Profile Details

NPI number 1871562892
LBN Legal business name Walczyk, Michael H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 14th, 2020 - about 6 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 1871562892 NPPES
Oregon MEDICAID 147116
Oregon MEDICAID 1029586

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