Kale, Keith W
Kale, Keith W is an sole proprietor health care provider with primary practice located at 10748 Ne Halsey St , Portland OR 97220-3961. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kale, Keith W can be contacted via phone (503) 255-9400.Contact Information
Primary practice address
10748 Ne Halsey St
Portland OR 97220-3961
Phone: (503) 255-9400
Fax: (503) 255-9402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO17457 | Oregon |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | DO17457 | Oregon |
Profile Details
| NPI number | 1043254378 |
|---|---|
| LBN Legal business name | Kale, Keith W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jan 27th, 2016 - about 8 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 | 1043254378 | NPPES |
| Oregon | MEDICAID | 036207 |
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