Individual
DR. SELDON KEITH SAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19300 SW BOONES FERRY RD STE 5, TUALATIN, OR 97062-9086
(503) 612-8448
(503) 612-8445
Mailing address
19300 SW BOONES FERRY RD STE 5, TUALATIN, OR 97062-9086
(503) 661-2844
(503) 612-8445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15511
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57687
—
OR
01
—
K0168 01
PACIFIC SOURCE HEALTH PLA
OR
Enumeration date
10/25/2006
Last updated
07/08/2007
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