Ironside, Keith Leland

Ironside, Keith Leland is an sole proprietor health care provider with primary practice located at 6464 Sw Borland Rd Suite B2, Tualatin OR 97062-8876. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Sleep Specialist, PhD. Other Service Providers / Sleep Specialist, PhD is his primary health care specialty. Ironside, Keith Leland can be contacted via phone (503) 612-9676.

Contact Information

Primary practice address
6464 Sw Borland Rd Suite B2 Tualatin OR 97062-8876
Phone: (503) 612-9676
Fax: (866) 360-3540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD09750 Oregon
Other Service Providers / Sleep Specialist, PhD 173F00000X MD09750 Oregon

Profile Details

NPI number 1639310774
LBN Legal business name Ironside, Keith Leland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2009
Last updated Sep 17th, 2013 - about 12 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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