Giedwoyn, Jerzy O

Giedwoyn, Jerzy O is an individual health care provider with primary practice located at 1111 Ne 99Th Ave Suite 201, Portland OR 97220-9428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Giedwoyn, Jerzy O can be contacted via phone (503) 962-1000.

Contact Information

Primary practice address
1111 Ne 99Th Ave Suite 201 Portland OR 97220-9428
Phone: (503) 962-1000
Fax: (503) 963-3005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD07659 Oregon

Profile Details

NPI number 1033101167
LBN Legal business name Giedwoyn, Jerzy O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 11th, 2011 - about 15 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 1033101167 NPPES
Oregon MEDICAID 070854

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