Kingman, John
Kingman, John is an individual health care provider with primary practice located at 18610 Nw Cornell Rd Suite 300, Hillsboro OR 97124-9204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kingman, John can be contacted via phone (503) 216-9300.Contact Information
Primary practice address
18610 Nw Cornell Rd Suite 300
Hillsboro OR 97124-9204
Phone: (503) 216-9300
Fax: (503) 216-9363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD17111 | Oregon |
Profile Details
| NPI number | 1881633980 |
|---|---|
| LBN Legal business name | Kingman, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Oct 8th, 2012 - about 13 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 | 1881633980 | NPPES |
| Oregon | Other | P00351748 | RR MEDICARE |
| Oregon | MEDICAID | 169784 | RR MEDICARE |
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