Kazmierowski, John A

Kazmierowski, John A is an individual health care provider with primary practice located at 18405 Deer Oak Ave , Lake Oswego OR 97035-7101. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Kazmierowski, John A can be contacted via phone (503) 799-8086.

Contact Information

Primary practice address
18405 Deer Oak Ave Lake Oswego OR 97035-7101
Phone: (503) 799-8086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD10203 Oregon
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X MD10203 Oregon
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD10203 Oregon
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD10203 Oregon

Profile Details

NPI number 1023013984
LBN Legal business name Kazmierowski, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jul 19th, 2022 - about 2 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 1023013984 NPPES
Oregon MEDICAID 006833

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