Tuck, Keiran Keith

Tuck, Keiran Keith is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Suite 420, Portland OR 97210-3057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tuck, Keiran Keith can be contacted via phone (503) 963-3100.

Contact Information

Primary practice address
1040 Nw 22Nd Ave Suite 420 Portland OR 97210-3057
Phone: (503) 963-3100
Fax: (503) 459-5398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD167719 Oregon

Profile Details

NPI number 1578889630
LBN Legal business name Tuck, Keiran Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2010
Last updated Mar 7th, 2018 - about 7 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 1578889630 NPPES
Oregon MEDICAID 500653052

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