Peykanu, James A
Peykanu, James A is an individual health care provider with primary practice located at 5251 Ne Glisan St 2Nd Floor, Portland OR 97213-3052. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychosomatic Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Peykanu, James A can be contacted via phone (503) 215-4860.Contact Information
Primary practice address
5251 Ne Glisan St 2Nd Floor
Portland OR 97213-3052
Phone: (503) 215-4860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 22332 | West Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD150292 | Oregon |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD150292 | Oregon |
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | MD150292 | Oregon |
| Allopathic & Osteopathic Physicians / Psychosomatic Medicine | 2084P0015X | MD150292 | Oregon |
Profile Details
| NPI number | 1306047576 |
|---|---|
| LBN Legal business name | Peykanu, James A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Aug 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306047576 | NPPES |
| West Virginia | Other | P00631474 | RAILROAD MEDICARE PART B |
| West Virginia | MEDICAID | 500636385 | RAILROAD MEDICARE PART B |
| West Virginia | MEDICAID | 5006367411 | RAILROAD MEDICARE PART B |
| West Virginia | MEDICAID | 3810012435 | RAILROAD MEDICARE PART B |
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