Peizner, David S.
Peizner, David S. is an individual health care provider with primary practice located at 501 N Graham St., Suite 200 , Portland OR 97227. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Peizner, David S. can be contacted via phone (503) 413-7162.Contact Information
Primary practice address
501 N Graham St., Suite 200
Portland OR 97227
Phone: (503) 413-7162
Fax: (503) 413-4711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | BP1548392 | Oregon |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD24393 | Oregon |
Profile Details
| NPI number | 1245235233 |
|---|---|
| LBN Legal business name | Peizner, David S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Feb 1st, 2017 - about 8 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 | 1245235233 | NPPES |
| Washington | MEDICAID | 1245235233 | |
| Washington | MEDICAID | 158515 | |
| Washington | Other | 804330013 |
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