Kilgore, James A

Kilgore, James A is an individual health care provider with primary practice located at 19250 Sw 65Th Ave #365 , Tualatin OR 97062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Kilgore, James A can be contacted via phone (503) 691-0364.

Contact Information

Primary practice address
19250 Sw 65Th Ave #365 Tualatin OR 97062
Fax: (503) 612-6663
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD13741 Oregon

Profile Details

NPI number 1003980889
LBN Legal business name Kilgore, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1003980889 NPPES
Oregon MEDICAID 21950 1

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