Individual
ROBERT KINAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210-3057
(503) 413-8202
Mailing address
1040 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210-3057
(503) 413-8202
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A102221
CA
207W00000X
Ophthalmology Physician
Primary
MD152518
OR
208600000X
Surgery Physician
MT188088
PA
Other
Enumeration date
01/12/2007
Last updated
02/01/2013
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