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Individual

PETR MIKSOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3550 N INTERSTATE AVE, KAISER PERMANENTE, DEPT. OF OBSTETRICS & GYNECOLOGY, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
3550 N INTERSTATE AVE, KAISER PERMANENTE, DEPT. OF OBSTETRICS & GYNECOLOGY, PORTLAND, OR 97227-1196

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD23779
OR

Other

Enumeration date
08/15/2006
Last updated
09/03/2008
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