Kittams, Brian K
Kittams, Brian K is an sole proprietor health care provider with primary practice located at 16463 Boones Ferry Rd , Lake Oswego OR 97035-4207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kittams, Brian K can be contacted via phone (503) 635-3743.Contact Information
Primary practice address
16463 Boones Ferry Rd
Lake Oswego OR 97035-4207
Phone: (503) 635-3743
Fax: (503) 635-1508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD16265 | Oregon |
Profile Details
| NPI number | 1477596732 |
|---|---|
| LBN Legal business name | Kittams, Brian K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Mar 15th, 2016 - about 8 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 | 1477596732 | NPPES |
| Oregon | MEDICAID | 152769 |
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