Kjos, Heidi
Kjos, Heidi is an individual health care provider with primary practice located at 3101 Se 192Nd Ave Suite 106, Vancouver WA 98683-1442. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kjos, Heidi can be contacted via phone (360) 553-7300.Contact Information
Primary practice address
3101 Se 192Nd Ave Suite 106
Vancouver WA 98683-1442
Phone: (360) 553-7300
Fax: (360) 553-7450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD153026 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60200769 | Washington |
Profile Details
| NPI number | 1124015433 |
|---|---|
| LBN Legal business name | Kjos, Heidi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Jul 2nd, 2021 - about 4 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 | 1124015433 | NPPES |
| Washington | Other | P00946521 | RR MEDICARE |
| Washington | MEDICAID | 500631081 | RR MEDICARE |
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