De Geest, Koenraad
De Geest, Koenraad is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mc:L466, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. De Geest, Koenraad can be contacted via phone (503) 418-4500.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Mc:L466
Portland OR 97239-3011
Phone: (503) 418-4500
Fax: (503) 494-4473
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 35280 | Iowa |
Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | MD162819 | Oregon |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD162819 | Oregon |
Profile Details
NPI number | 1093702862 |
---|---|
LBN Legal business name | De Geest, Koenraad |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2005 |
Last updated | Mar 20th, 2019 - about 5 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 | 1093702862 | NPPES |
Iowa | Other | 35627 | WELLMARK BCBS |
Iowa | MEDICAID | 0422592 | WELLMARK BCBS |
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