Organization
RUSSELL J. KEIZER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KEIZER (OFFICE MANAGER)
(503) 325-2448
Entity
Organization
Contact information
Practice address
2120 EXCHANGE ST #203, ASTORIA, OR 97103
(503) 325-2448
(503) 325-2487
Mailing address
2120 EXCHANGE ST #203, ASTORIA, OR 97103
(503) 325-2448
(503) 325-2487
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD08049
OR
Other
Enumeration date
06/15/2006
Last updated
08/22/2020
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