Klykov, Arkady A.

Klykov, Arkady A. is an individual health care provider with primary practice located at 1500 Division Street , Oregon City OR 97045-1527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Klykov, Arkady A. can be contacted via phone (503) 216-4329.

Contact Information

Primary practice address
1500 Division Street Oregon City OR 97045-1527
Phone: (503) 216-4329
Fax: (503) 215-6271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD155792 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R8075 Iowa

Profile Details

NPI number 1629273594
LBN Legal business name Klykov, Arkady A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Jan 12th, 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 1629273594 NPPES
Oregon MEDICAID 500638632

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