Cieslak, Paul Raymond

Cieslak, Paul Raymond is an sole proprietor health care provider with primary practice located at 3007 Ne 53Rd Ave , Portland OR 97213-2439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Cieslak, Paul Raymond can be contacted via phone (503) 287-3330.

Contact Information

Primary practice address
3007 Ne 53Rd Ave Portland OR 97213-2439
Fax: (971) 673-1100
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD 19613 Oregon
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD00025591 Washington

Profile Details

NPI number 1083758130
LBN Legal business name Cieslak, Paul Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2007
Last updated Mar 21st, 2009 - about 16 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 1083758130 NPPES
Oregon MEDICAID 232049

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