National Provider Identifier Database

KISHORE G PATHIAL MD PC
Sleep Disorder Diagnostic


Contact Information

KISHORE G PATHIAL MD PC
2397 NE CUMULUS AVE
MCMINNVILLE, OR97128-6255
Phone: 503-472-5163
Fax: 503-472-3320
Website:
Specialty Taxonomy Code
* Sleep Disorder Diagnostic 261QS1200X

* Indicates primary specialty

NPI Profile & details for KISHORE G PATHIAL MD PC

NPI Number 1285885632
Legal business name
LBN
KISHORE G PATHIAL MD PC
Authorized official KISHORE PATHIAL - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 10/03/2008
Last updated 02/13/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 6952791
  • OR Medicaid: 055884

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.

Reviews for KISHORE G PATHIAL MD PC

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