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Individual

KEITH B. RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
990 SE SUNNYSIDE RD., CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
990 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-6910
(503) 571-5649

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
MD00034279
WA
207RI0200X
Infectious Disease Physician
Primary
MD15711
OR

Other

Enumeration date
08/24/2006
Last updated
03/11/2008
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