Pawlik, Theodore David

Pawlik, Theodore David is an sole proprietor health care provider with primary practice located at 501 N Graham St Suite 265, Portland OR 97227-2000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Pawlik, Theodore David can be contacted via phone (503) 282-7002.

Contact Information

Primary practice address
501 N Graham St Suite 265 Portland OR 97227-2000
Phone: (503) 282-7002
Fax: (503) 280-1290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036103541 Illinois
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD27961 Oregon

Profile Details

NPI number 1154483402
LBN Legal business name Pawlik, Theodore David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jul 9th, 2015 - about 9 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 1154483402 NPPES
Oregon MEDICAID 218504

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