Kujovich, Jody Lynn

Kujovich, Jody Lynn is an individual health care provider with primary practice located at 265 N Broadway St , Portland OR 97227-1800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Kujovich, Jody Lynn can be contacted via phone (503) 280-1223.

Contact Information

Primary practice address
265 N Broadway St Portland OR 97227-1800
Phone: (503) 280-1223
Fax: (503) 528-5252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD19371 Oregon

Profile Details

NPI number 1972562809
LBN Legal business name Kujovich, Jody Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Mar 26th, 2010 - about 14 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 1972562809 NPPES
Washington MEDICAID 1023487
Washington MEDICAID 150201

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