Individual
THEODORE J KLEIKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10200 SW EASTRIDGE ST, SUITE 205, PORTLAND, OR 97225-5064
(503) 280-4555
(503) 280-4559
Mailing address
10200 SW EASTRIDGE ST, SUITE 205, PORTLAND, OR 97225-5064
(503) 280-4555
(503) 280-4559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13490
OR
Other
Enumeration date
08/29/2006
Last updated
10/13/2014
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