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Ronald Kizziar, MD
Diagnostic Radiology Physician in Portland, Oregon
NPI 1316924046

Ronald Kizziar is a Diagnostic Radiology Physician based in Portland, OR and is specialized in Diagnostic Radiology. Ronald Kizziar practices in Portland, OR and has the professional credentials of MD. The NPI Number for Ronald Kizziar is 1316924046 and holds a License No. MD21310 (Oregon).

The current practice location address for Ronald Kizziar is 545 Ne 47Th Ave, Portland, OR and can be reached out via phone at 503-731-2904. You can also correspond with Ronald Kizziar through the mailing address at 545 NE 47TH AVE, PORTLAND, OR - 97213-2238 (mailing address contact number: 503-731-2904).

Location: 545 Ne 47Th Ave, Portland, OR, 97213-2238
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Provider Profile Details
NPI Number
1316924046
Provider Name
Ronald Kizziar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
545 Ne 47Th Ave, Portland, OR, 97213-2238
Phone Number
503-731-2904
Fax Number
Provider Enumeration Date
12/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8376576 05 WA
840126006 01 OR REGENCE BS/BC
226863 05 OR
P0058316 01 OR RR MC
institution
Provider Business Practice Location Address Details
Address
545 Ne 47Th Ave
City
State
Zip
97213-2238
Phone Number
503-731-2904
Fax Number
person
Provider Business Mailing Address Details
Address
545 Ne 47Th Ave
City
State
Zip
97213-2238
Phone Number
503-731-2904
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD21310 (Oregon)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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