Individual
ARKADY A. KLYKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DIVISION STREET, OREGON CITY, OR 97045-1527
(503) 216-4329
(503) 215-6271
Mailing address
P.O. BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD155792
OR
207R00000X
Internal Medicine Physician
R8075
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500638632
—
OR
Enumeration date
06/19/2007
Last updated
01/12/2012
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