Individual
DR. KEITH DAVID KLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 EXCHANGE ST, SUITE 111, ASTORIA, OR 97103-3365
(503) 325-0333
(503) 325-6333
Mailing address
PO BOX 96, BORING, OR 97009-0096
(503) 325-0333
(503) 325-6333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15828
OR
Other
Enumeration date
07/25/2006
Last updated
07/06/2016
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