Individual
PAUL RAYMOND CIESLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3007 NE 53RD AVE, PORTLAND, OR 97213-2439
(503) 287-3330
(971) 673-1100
Mailing address
3007 NE 53RD AVE, PORTLAND, OR 97213-2439
(503) 287-3330
(971) 673-1100
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD 19613
OR
207RI0200X
Infectious Disease Physician
MD00025591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232049
—
OR
Enumeration date
02/19/2007
Last updated
03/21/2009
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