Individual
DR. JOHN A KAZMIEROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18405 DEER OAK AVE, LAKE OSWEGO, OR 97035-7101
(503) 799-8086
Mailing address
18405 DEER OAK AVE, LAKE OSWEGO, OR 97035-7101
(503) 799-8086
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
MD10203
OR
207N00000X
Dermatology Physician
Primary
MD10203
OR
207ND0900X
Dermatopathology Physician
MD10203
OR
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
MD10203
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006833
—
OR
Enumeration date
06/16/2005
Last updated
07/19/2022
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