National Provider Identifier Database

KEIZER DIABETES METABOLISM CLINIC
Adult Health


Contact Information

KEIZER DIABETES & METABOLISM CLINIC
4829 RIVER RD N
KEIZER, OR97303-4537
Phone: 801-648-3824
Fax:
Website:
Specialty Taxonomy Code
* Adult Health 364SA2200X

* Indicates primary specialty

NPI Profile & details for KEIZER DIABETES & METABOLISM CLINIC

NPI Number 1689503864
Legal business name
LBN
KEIZER DIABETES & METABOLISM CLINIC
Authorized official SANDRA BUNN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/14/2026
Last updated 05/29/2026 - About 2 weeks ago
Sole proprietor1 Not specified
Identifiers n/a

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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