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
Phone: (503) 666-3030
Fax: (503) 666-3434
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891760252 | NPPES |
Oregon | MEDICAID | 103069 |
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