Antoniskis, Andris
Antoniskis, Andris is an individual health care provider with primary practice located at 5228 Ne Hoyt St Bldg B, 3Rd Floor, Portland OR 97213-3055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Antoniskis, Andris can be contacted via phone (503) 215-2584.Contact Information
Primary practice address
5228 Ne Hoyt St Bldg B, 3Rd Floor
Portland OR 97213-3055
Phone: (503) 215-2584
Fax: (503) 215-1524
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD10115 | Oregon |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | MD10115 | Oregon |
Profile Details
NPI number | 1528067972 |
---|---|
LBN Legal business name | Antoniskis, Andris |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2005 |
Last updated | Nov 7th, 2014 - about 11 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 | 1528067972 | NPPES |
Oregon | MEDICAID | 220376 | |
Oregon | MEDICAID | 500626738 |
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