Individual
DR. FREDERICK SAUL KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, L-605, PORTLAND, OR 97239-3011
(503) 494-7660
(503) 494-7664
Mailing address
3181 SW SAM JACKSON PARK RD, L-605, PORTLAND, OR 97239-3011
(503) 494-7660
(503) 494-7664
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD08975
OR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD08975
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247510
—
OR
Enumeration date
08/03/2006
Last updated
07/12/2007
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