Individual
PAUL A KLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19875 SW 65TH AVE, SUITE 260, TUALATIN, OR 97062-8353
(503) 691-1743
(503) 691-0983
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 691-1743
(503) 691-0983
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD21432
OR
207ND0900X
Dermatopathology Physician
MD21432
OR
207NS0135X
Procedural Dermatology Physician
MD21432
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151278
—
OR
Enumeration date
03/13/2007
Last updated
02/27/2008
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