Zegzula, Henry Daniel

Zegzula, Henry Daniel is an individual health care provider with primary practice located at 1200 Nw Naito Parkway Suite 310, Portland OR 97209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Zegzula, Henry Daniel can be contacted via phone (503) 292-9200.

Contact Information

Primary practice address
1200 Nw Naito Parkway Suite 310 Portland OR 97209
Fax: (503) 292-9205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD17838 Oregon

Profile Details

NPI number 1811968639
LBN Legal business name Zegzula, Henry Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Sep 29th, 2014 - about 10 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 1811968639 NPPES
Oregon MEDICAID 064394

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