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
Fax: (360) 553-7450
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1124015433 NPPES
Washington Other P00946521 RR MEDICARE
Washington MEDICAID 500631081 RR MEDICARE

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