An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine |
| NPI Number | 1730552845 |
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| LBN Legal business name | KPG OREGON, LLC | ||||
| Authorized official | DARRYL OLIVIER - (COO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 11/11/2015 | ||||
| Last updated | 04/12/2018 - About 8 years ago | ||||
| Identifiers |
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