Koval, George

Koval, George is an individual health care provider with primary practice located at 9701 Sw Barnes Rd Ste 300, Portland OR 97225-6689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Koval, George can be contacted via phone (503) 297-8081.

Contact Information

Primary practice address
9701 Sw Barnes Rd Ste 300 Portland OR 97225-6689
Fax: (503) 292-6601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD13654 Oregon

Profile Details

NPI number 1093711715
LBN Legal business name Koval, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Sep 26th, 2013 - about 11 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 1093711715 NPPES
Oregon MEDICAID 029132
Oregon MEDICAID 8622805

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