Kimura, Hidenao

Kimura, Hidenao is an sole proprietor health care provider with primary practice located at 16463 Boones Ferry Rd 300 , Lake Oswego OR 97035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kimura, Hidenao can be contacted via phone (503) 636-9605.

Contact Information

Primary practice address
16463 Boones Ferry Rd 300 Lake Oswego OR 97035
Fax: (503) 636-9604
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD19944 Oregon

Profile Details

NPI number 1770519340
LBN Legal business name Kimura, Hidenao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2006
Last updated May 6th, 2010 - about 14 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 1770519340 NPPES
Oregon Other 110244971 RR MEDICARE
Oregon MEDICAID 085600 RR MEDICARE

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