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Individual

MICHAEL LOUIS KLEIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3375 SW TERWILLIGER BLVD, PORTLAND, OR 97239
(503) 494-3055
(503) 494-7233
Mailing address
PO BOX 4183, PORTLAND, OR 97208
(503) 494-6107
(503) 494-0470

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD10196
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103093
OR
Enumeration date
05/16/2006
Last updated
07/08/2007
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