Individual
DAVID KIRAKOSSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9555 SW BARNES RD STE 150, PORTLAND, OR 97225-6691
(503) 297-3384
(503) 297-0863
Mailing address
9555 SW BARNES RD STE 150, PORTLAND, OR 97225-6691
(503) 297-3384
(503) 297-0863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A150426
CA
207RR0500X
Rheumatology Physician
Primary
MD209272
OR
390200000X
Student in an Organized Health Care Education/Training Program
A150426
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2016
Last updated
07/19/2022
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