Ettinger, Kenneth Michael
Ettinger, Kenneth Michael is an individual health care provider with primary practice located at 3550 N Interstate Ave , Portland OR 97227-1196. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Ettinger, Kenneth Michael can be contacted via phone (503) 285-9321.Contact Information
Primary practice address
3550 N Interstate Ave
Portland OR 97227-1196
Phone: (503) 285-9321
Fax: (503) 331-6450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD13428 | Oregon |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD00027111 | Washington |
Profile Details
| NPI number | 1972617330 |
|---|---|
| LBN Legal business name | Ettinger, Kenneth Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Feb 4th, 2022 - about 2 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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