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Contact Information

MICKI A KANTROWITZ, MD
6410 NE HALSEY ST STE 300
PORTLAND, OR97213-4759
 Phone: 503-215-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICKI A KANTROWITZ · (Female)

NPI Number 1346268158
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 12/20/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0040152
  • OR License # MD180886
  • VA License # 0101258386
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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