Unknown Individual – Urology Physician, NPI 1609963446
Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Kaiser Skyline Medical Office, 5125, Skyline Road South, Sunnyslope, Liberty, Salem, Marion County, Oregon, 97306, United States
SALEM, OR 973069427
Phone: (503) 289-9199
Fax: (503) 289-8808
Type: Location
Pearl Speciality, 900, Northwest Lovejoy Street, Pearl District, Portland, Multnomah County, Oregon, 97209, United States
#906
PORTLAND, OR 97909
Phone: (503) 289-9199
Fax: (503) 289-8808
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97306)
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