Kadlecek, Timothy David

Kadlecek, Timothy David is an individual health care provider with primary practice located at 19300 Sw 65Th Legacy Meridian Park Hospital, Tualatin OR 97062-8854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kadlecek, Timothy David can be contacted via phone (503) 692-5737.

Contact Information

Primary practice address
19300 Sw 65Th Legacy Meridian Park Hospital Tualatin OR 97062-8854
Phone: (503) 692-5737
Fax: (503) 692-5307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DO24732 Oregon

Profile Details

NPI number 1538229315
LBN Legal business name Kadlecek, Timothy David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1538229315 NPPES
Oregon MEDICAID 275059

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