Keller, Frederick Saul

Keller, Frederick Saul is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd L-605, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Keller, Frederick Saul can be contacted via phone (503) 494-7660.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd L-605 Portland OR 97239-3011
Phone: (503) 494-7660
Fax: (503) 494-7664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD08975 Oregon
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD08975 Oregon

Profile Details

NPI number 1609884139
LBN Legal business name Keller, Frederick Saul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 12th, 2007 - about 17 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 1609884139 NPPES
Oregon MEDICAID 247510

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