Individual
DR. MARTIN M. KLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3831 MAIN ST, SUITE 108, SPRINGFIELD, OR 97478-5801
(541) 746-4468
(541) 746-4562
Mailing address
3831 MAIN STREET, SUITE 108, SPRINGFIELD, OR 97478-5801
(541) 746-4468
(541) 746-4562
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
MD18059
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD18059
OR
Other
Enumeration date
01/02/2007
Last updated
01/29/2020
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