Individual
KHALIL TAUNTON KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2270 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-5916
(503) 963-8337
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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