Individual
JAMES P KYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N GRAHAM ST STE 250, PORTLAND, OR 97227-1666
(503) 208-3418
(503) 284-7885
Mailing address
300 N GRAHAM ST STE 250, PORTLAND, OR 97227-1666
(503) 280-3418
(503) 284-7885
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD25903
OR
2080P0202X
Pediatric Cardiology Physician
MD00045144
WA
2080P0202X
Pediatric Cardiology Physician
Primary
MD25903
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057775004
BLUE CROSS
OR
05
—
1121946
—
WA
05
—
269922
—
OR
Enumeration date
11/09/2005
Last updated
09/10/2024
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