Individual
KEITH W KALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10748 NE HALSEY ST, PORTLAND, OR 97220-3961
(503) 255-9400
(503) 255-9402
Mailing address
10748 NE HALSEY ST, PORTLAND, OR 97220-3961
(503) 255-9400
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
DO17457
OR
207Q00000X
Family Medicine Physician
Primary
DO17457
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036207
—
OR
Enumeration date
06/16/2006
Last updated
01/27/2016
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