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Kpg Oregon, Llc
Addiction Medicine (Internal Medicine) Physician in Astoria, Oregon
NPI 1730552845

Kpg Oregon, Llc is an Addiction Medicine (Internal Medicine) Physician based in West Hollywood, OR and is specialized in Addiction Medicine. Kpg Oregon, Llc practices in Astoria, OR. The NPI Number for Kpg Oregon, Llc is 1730552845 and holds a License No. MD168198 (Oregon).

The current practice location address for Kpg Oregon, Llc is 486 12Th Street #200, Astoria, OR and can be reached out via phone at 310-975-1428.

Location: 486 12Th Street #200, Astoria, OR, 90069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730552845
Provider Name
Kpg Oregon, Llc
Credential
Provider Entity Type
Organization
Address
486 12Th Street #200, Astoria, OR, 90069
Phone Number
310-975-1428
Fax Number
Provider Enumeration Date
11/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
486 12Th Street #200
City
Astoria
State
Oregon
Zip
97103
Phone Number
310-975-1428
Fax Number
person
Provider Business Mailing Address Details
Address
486 12Th Street #200
City
Astoria
State
Oregon
Zip
97103
Phone Number
310-975-1428
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
MD168198 (Oregon)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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