Individual
KISHOR KHANAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7646
Mailing address
3181 SW SAM JACKSON PARK RD # UHN62, PORTLAND, OR 97239-3011
(503) 494-1775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD225793
OR
207RC0000X
Cardiovascular Disease Physician
Primary
MD225793
OR
207RC0000X
Cardiovascular Disease Physician
ME0146781
FL
207RI0011X
Interventional Cardiology Physician
MD225793
OR
207RI0011X
Interventional Cardiology Physician
R80746
AZ
Other
Enumeration date
04/07/2018
Last updated
07/09/2025
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