Lowenkopf, Theodore J
Lowenkopf, Theodore J is an individual health care provider with primary practice located at 9135 Sw Barnes Rd Ste 461, Portland OR 97225-6646. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Lowenkopf, Theodore J can be contacted via phone (503) 216-1150.Contact Information
Primary practice address
9135 Sw Barnes Rd Ste 461
Portland OR 97225-6646
Phone: (503) 216-1150
Fax: (971) 282-0086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 110269 | Alaska |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 37334 | Montana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD22219 | Oregon |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | MD22219 | Oregon |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G142299 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD60217458 | Washington |
Profile Details
| NPI number | 1629059407 |
|---|---|
| LBN Legal business name | Lowenkopf, Theodore J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Nov 25th, 2022 - about 2 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 | 1629059407 | NPPES |
| Oregon | Other | P00777837 | RR MEDICARE |
| Oregon | MEDICAID | 130328 | RR MEDICARE |
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