Individual
DR. JONATHAN LAWRENCE KUKIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE 230, PORTLAND, OR 97227-1630
(503) 413-4340
Mailing address
2800 N VANCOUVER AVE, SUITE 230, PORTLAND, OR 97227-1630
(503) 413-4340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PG159685
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2011
Last updated
03/19/2021
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