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
Fax: (503) 216-9363
Website:

Health care specialties

SpecialtyCodeLicense #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 12 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 1881633980 NPPES
Oregon Other P00351748 RR MEDICARE
Oregon MEDICAID 169784 RR MEDICARE

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