Individual
MICHAEL M KLOTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9427 SW BARNES RD, SUITE 395, PORTLAND, OR 97225-6652
(503) 216-2602
(503) 216-2639
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD23867
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286561
—
OR
Enumeration date
06/25/2006
Last updated
06/08/2011
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