Individual
KASH K. SIEPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2300 NW STEWART PKWY, ROSEBURG, OR 97471-1597
(541) 673-7322
(541) 673-3615
Mailing address
2300 NW STEWART PKWY, ROSEBURG, OR 97471-1597
(541) 673-7322
(541) 673-3615
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
273
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0586980-00
BLUE CROSS
OR
05
—
077144
—
OR
01
—
273
OREGON LICENSE NUMBER
OR
01
—
4307932-00
BLUE CROSS PC65
OR
Enumeration date
05/31/2005
Last updated
05/13/2010
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