Kinder, Russell Robert
Kinder, Russell Robert is an individual health care provider with primary practice located at 10000 Se Main St Ste 128 , Portland OR 97216-2462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kinder, Russell Robert can be contacted via phone (503) 251-6835.Contact Information
Primary practice address
10000 Se Main St Ste 128
Portland OR 97216-2462
Phone: (503) 251-6835
Fax: (503) 251-6836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD60232145 | Washington |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | MD156934 | Oregon |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD156934 | Oregon |
Profile Details
| NPI number | 1316140965 |
|---|---|
| LBN Legal business name | Kinder, Russell Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Mar 17th, 2018 - about 7 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 | 1316140965 | NPPES |
| Washington | MEDICAID | 1316140965 |
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