Individual
KENNETH J MEIGS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15 82ND DR STE 100, GLADSTONE, OR 97027-2550
(503) 831-9231
(503) 656-8080
Mailing address
15 82ND DR STE 100, GLADSTONE, OR 97027-2550
(503) 831-9231
(503) 656-8080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO18453
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071410
—
OR
01
—
819827000
BLUE CROSS
OR
Enumeration date
10/12/2006
Last updated
09/21/2022
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