Doctor Name: | EDWIN A KAYSER |
NPI Number: | 1083640098 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 06967 |
Business Practice Address: | 11785 Sw Barnes Rd Suite 300 Portland, OR - 972255904 |
Business Phone Number: | 5032145200 |
Business Fax Number: | 5039066613 |
Mailing Address: | 11782 Sw Barnes Rd, Suite 300 PORTLAND |
State: | OR |
Postal Code: | 972255914 |
Phone Number: | 5032145200 |
Fax Number: | 5039066613 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 06967 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |