Rhoads, Kenneth L
Rhoads, Kenneth L is an individual health care provider with primary practice located at 1960 Nw 167Th Pl., Suite 205 , Beaverton OR 97006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rhoads, Kenneth L can be contacted via phone (503) 413-7162.Contact Information
Primary practice address
1960 Nw 167Th Pl., Suite 205
Beaverton OR 97006
Phone: (503) 413-7162
Fax: (503) 672-6131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD11869 | Oregon |
Profile Details
| NPI number | 1912904103 |
|---|---|
| LBN Legal business name | Rhoads, Kenneth L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 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 | 1912904103 | NPPES |
| Oregon | MEDICAID | 242974 |
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