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Individual

KRZYSZTOF JACEK OSTROWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-2880
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-2880

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD20579
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006241000
REGENCE BCBSO
OR
05
151051
OR
05
8513558
WA
01
P00662699
RR MEDICARE
OR
Enumeration date
04/14/2006
Last updated
09/10/2010
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