Kestner, Mark Steven

Kestner, Mark Steven is an sole proprietor health care provider with primary practice located at 501 N Graham St Suite 580, Portland OR 97227-1654. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kestner, Mark Steven can be contacted via phone (503) 528-0704.

Contact Information

Primary practice address
501 N Graham St Suite 580 Portland OR 97227-1654
Phone: (503) 528-0704
Fax: (503) 528-0708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD23365 Oregon
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD23365 Oregon
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD23365 Oregon

Profile Details

NPI number 1407964968
LBN Legal business name Kestner, Mark Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2006
Last updated Jul 9th, 2007 - about 18 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 1407964968 NPPES
Oregon MEDICAID 287209

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