# DR. KEITH LELAND IRONSIDE JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639310774
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173F00000X | Sleep Specialist (PhD) | MD09750 | OR | Yes |
| 174400000X | Specialist | MD09750 | OR | — |

## Other

- **Enumeration date:** 03/19/2009
- **Last updated:** 09/17/2013