Individual
JOHN ROBERT ZELKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, SUITE 6N60, PORTLAND, OR 97213-2933
(503) 281-0561
(503) 416-7377
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD13541
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283382
—
OR
05
—
7064942
—
WA
Enumeration date
01/24/2006
Last updated
09/19/2013
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