Kalez, Robert L

Kalez, Robert L is an sole proprietor health care provider with primary practice located at 24900 Se Stark St Ste 208 , Gresham OR 97030-3382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kalez, Robert L can be contacted via phone (503) 666-3030.

Contact Information

Primary practice address
24900 Se Stark St Ste 208 Gresham OR 97030-3382
Fax: (503) 666-3434
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD06014 Oregon

Profile Details

NPI number 1891760252
LBN Legal business name Kalez, Robert L
Credentials MD PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Nov 2nd, 2009 - about 16 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 1891760252 NPPES
Oregon MEDICAID 103069

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