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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023013984 | NPPES |
| Oregon | MEDICAID | 006833 |
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