Kenneth Wayne Kooser in Portland - Family Medicine
Kenneth Wayne Kooser - NPI 1306920772
Kenneth Wayne Kooser is a Family Medicine in Portland, Oregon. Kenneth Wayne Kooser practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth Wayne Kooser is 1306920772. The last update date is 2021-06-16.
Kenneth Wayne Kooser's current location address is Po Box 3360, Portland, Oregon. You can contact this provider via phone number 8663662983. The mailing address for Kenneth Wayne Kooser is Po Box 3360, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Wayne Kooser |
|---|---|
| Address | Po Box 3360, Portland, Oregon |
| Phone Number | 8663662983 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306920772 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2021-06-16 |
Provider Mailing Address Detail
| Address | Po Box 3360 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972083360 |
| Phone Number | 8663662983 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD60320788 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1306920772 | UT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Wayne Kooser by the Centers for Medicare & Medicaid Services?
The Kenneth Wayne Kooser has been assigned the NPI (National Provider Identifier) 1306920772. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kenneth Wayne Kooser is physically located?
The Kenneth Wayne Kooser is physically situated at the following address: Po Box 3360, Portland, OR, 972083360.
What is the Kenneth Wayne Kooser's area of specialization and corresponding taxonomy classification?
The Kenneth Wayne Kooser's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Kenneth Wayne Kooser receive its 1306920772 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Wayne Kooser was assigned its 1306920772 by the Centers for Medicare & Medicaid Services on 2006-10-24.
When was the information pertaining to Kenneth Wayne Kooser most recently updated or revised?
The details related to Kenneth Wayne Kooser, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-16.