Individual
MIROSLAV KAVUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1809 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 359-6180
(503) 357-2318
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
DO350
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3303636
—
TN
Enumeration date
07/29/2006
Last updated
03/19/2008
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