Individual
DR. CYRIL KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-1212
Mailing address
1130 NW 22ND AVE STE 640, PORTLAND, OR 97210-5488
(503) 229-7976
(503) 274-4867
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD209095
OR
207RN0300X
Nephrology Physician
MD60279943
WA
207RN0300X
Nephrology Physician
ME115421
FL
207RN0300X
Nephrology Physician
MED-PHYS-COM-LIC-145
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255536181
—
WA
01
—
EIN
591561574
FL
Enumeration date
06/20/2007
Last updated
03/30/2026
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