Denker, John
Denker, John is an sole proprietor health care provider with primary practice located at 5622 Se 41St Ave , Portland OR 97202-7516. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Denker, John can be contacted via phone (503) 774-6929.Contact Information
Primary practice address
5622 Se 41St Ave
Portland OR 97202-7516
Phone: (503) 774-6929
Fax: (503) 774-6924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | MD 12668 | Oregon |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | MD 12668 | Oregon |
Profile Details
| NPI number | 1942201546 |
|---|---|
| LBN Legal business name | Denker, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Oct 16th, 2007 - about 18 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 | 1942201546 | NPPES |
| Other | 930862374 | TRICARE | |
| MEDICAID | 228700 | TRICARE |
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