Individual
KENNETH JOHN SCALAPINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P3MED, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, P3MED, PORTLAND, OR 97239-2964
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
126262
OR
207RR0500X
Rheumatology Physician
A74929
CA
Other
Enumeration date
09/27/2006
Last updated
01/26/2010
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