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Individual

KRIS KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO198410
OR
207RC0000X
Cardiovascular Disease Physician
DO198410
OR
207RI0011X
Interventional Cardiology Physician
Primary
DO198410
OR

Other

Enumeration date
05/12/2015
Last updated
07/11/2024
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